Junior Anglers - Volunteer Registration

The event will take place on April 26th at Lake Ft. Phantom, located at 10818 FM 600, Abilene, TX. Registration will begin at 8:00 AM, with fishing starting at 9:00 AM. Lunch and an awards ceremony will follow.
Thank you for your consideration in volunteering this year! Please fill out the following form.

Name

First

Last

Email

Phone

Would you like to receive text updates about the event?

Address

Address Line 1

Address Line 2

City

State

Zip Code

T-shirt size?

Center, any me,

Informed Consent and Acknowledgement and Media Release

You must check yes to participate in this event.

I hereby grant to West Texas Rehabilitation Center, their agents, successors, assignees, and affiliates, and their respective employees, officers, directors, board members, and representatives (collectively “Producers”) the right and permission to film, photograph, and record me, transcribe the recording, and to use my name, voice, image, information about me and any ideas or materials that I provide Producers (collectively, the “Materials”) in works created by Producers (the “Program”) and in connection with advertising, publicizing, broadcasting, producing, and exploiting the Program, in any and all media and mediums now known hereafter developed, in perpetuity. I understand that Producers are under no obligation to incorporate my appearance in the Program. Producer may edit and Video as it sees fit, and may resnlate the Material into languages other than English.

Signature

Clear Signature

Junior Anglers – Volunteer Registration

Informed Consent and Acknowledgement and Media Release