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2024 Driftless Men | FATC REGISTRATION
Yes! You are registering for our 2024 Driftless Men's Retreat | FATC.
Contact Information
Name
*
First Name
Last Name
Preferred Name/Nickname
*
Preferred Name/Nickname
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
Fishing & Trip Information
Please provide some information to help us best prepare for your adventure.
T-Shirt Size
*
Small
Medium
Large
X-Large
2XL
Fishing Experience
*
I have never been Fly Fishing before.
I have been Fly Fishing a few times.
I consider myself an angler.
I consider myself an advanced angler.
Fishing Equipment
*
What equipment will you be BRINGING?
Fly Rod
Waders/Boots
None
Height
Weight
Boot/Shoe Size
*
Any Allergies? (Plant, Insect, Medication or Food)
*
Any Food Restrictions?
*
Payment Information
REGISTRATION:
*
$625
-
50% Deposit DUE at Registration
$1,250
-
Pay in FULL
Add 3% to my total amount to help cover the payment processing fees
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