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Volunteer
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Apply
2025 Fly Fishing Academy Application
"
*
" indicates required fields
2025 applications are now being reviewed by the Directors
Parent or Guardian - Please Complete the Following Section
Parent or Guardians Name
*
First
Last
Home Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mobile Phone
*
Email
*
Emergency Contact Person - In Addition to Yourself
*
First
Last
Emergency Phone Contact - In Addition to Your Number
*
Health Care Insurance Co. & Policy Number for the student applicant. - - - This information will remain private and only to be used in an emergency.
Has the applicant been vaccinated against Covid 19? - - - The academy strives to provide the highest level of health safety at our facility. Therefore we strongly suggest that every student receive their Covid 19 vaccination and/or booster at least two weeks prior to their first day at the academy.
*
Yes
No
Student Age
*
We accept students who will be between 12 - 16 years of age during camp. If an applicant is short or long by a few months, we are flexible.
Birthdate
MM slash DD slash YYYY
Is the applicant a confident swimmer?
*
Yes
No
Tee Shirt Size
*
Youth - Small
Youth - Medium
Youth - Large
Youth - X Large
Adult - Small
Adult - Medium
Adult - Large
Adult X Large
Does the applicant have any Allergies ?
*
Yes
No
Does the applicant have any Dietary Restrictions?
*
Yes
No
Is the applicant taking any Medications ?
*
Yes
No
Please Describe - - - Allergy, Dietary or Medication Information - - - - This information shall remain private unless requested by an emergency medical care provider.
*
Please contact us to discuss safe storage and other medication concerns.
Is there anything else we should know about your child?
Applicant - Answer the Following Questions in Your Own Words
Student Name (Applicant)
*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Approximately how many times have you fished with a fly rod and fly?
*
None
A few times
About a dozen ?
So many I can't remember.
How would you rate yourself as a fly fisher?
*
No experience
Tried it a few times.
I'm more than a beginner.
Answer this question ONLY if you have fly fished before.
*
When I'm fishing, I prefer to have my FLY REELS HANDLE ON THE LEFT SIDE.
When I'm fishing, I prefer to have my FLY REELS HANDLE ON THE RIGHT SIDE.
How would you rate yourself as a fly tier?
*
No experience
I've only tied a few flies.
I can tie a few basic flies.
I can tie a large varieties of flies.
Write a short essay addressing why you should be selected to attend the academy.
*
If you had the power, how would you help conserve our fisheries?
*
What are the most important fly fishing topics that you want to learn at the academy.
*
Why are your interested in fly fishing? What makes you want to grab a rod and fish with a fly?
*
Consent
*
I agree to the Rules of Conduct
Rules of Conduct
Revised August 2023
1. Follow the directions of the Senior Staff.
2. All students must be able to swim confidently. They will be given a short swimming test on day one of camp. The student’s performance during the swim test will directly affect their watercraft use privileges.
3. Students may not operate vehicles during the academy.
4. Students may not leave the academy grounds except during supervised field/fishing trips.
5. Apart from authorized parents or guardians, no one is allowed to visit the students while they attend the academy unless prior approval has been granted by the same.
6. Students shall not use a cell phone during class time or during a field trip, unless authorized by a staff member.
7. All accidents and injuries shall be reported immediately to a senior staff member. No injuries are to be considered insignificant.
8. Lost and found articles are to be delivered immediately to a senior staff member, the item will then be placed in a secure area for return to the owner.
9. Blades or knives of any kind are not permitted at the academy.
10. A student taking or requiring medication must list them on a form provided and submitted upon registration. Such information will be secured on site and shared only when necessary.
11. No tobacco products, of any form, are allowed on campus.
12. The possession or use of any controlled substance, alcoholic beverage or illegal material is not permitted and will be grounds for immediate dismissal from the academy.
13. Extra time to go fly fishing will be available during non-class times only when a senior staff member approves and can supervise your activity.
14. Student use of watercraft on Panhandle Lake is allowed only when supervised by a staff member.
15. When on the lake docks the students shall always wear their Personal Flotation Device
16. When using any watercraft on the lake the students shall always wear their Personal Flotation Device and lightweight footwear such as sneakers.
17. When wading the students shall always wear their Personal Flotation Device.
18. Swimming will only be allowed when a licensed lifeguard is on duty.
19. Appropriate language will always be expected and absolutely NO bullying is allowed.
20. Violation of any of the above rules may result in:
a. immediate dismissal from the academy
b. suspension from one or more classes or activities
If a violation occurs, the parent or guardian shall be notified “immediately” and the students academy fee will qualify for a pro-rated reimbursement.
I also agree to complete the academy in order to receive any awards or complimentary fishing equipment.
I have read “The Rules of Conduct” and will comply with all terms and conditions of the North West Youth Conservation and Fly Fishing Academy as called out above.
Date
*
MM slash DD slash YYYY
Student Signature
*
Parent Signature
*
Notes
Are you human?
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