Trout Camp Signup • Georgia Council of Trout Unlimited

Georgia Trout Camp Application

Name*
First Last
Name you wish to be called by*
Home Address*
Street Address City State Zip
Date of Birth*
MM slash DD slash YYYY

(Must be within the ages of 13 – 15 at time of camp)
Age at time of camp*
Gender*
- Male
- Female
T-Shirt size (adult size only)*
- Small
- Medium
- Large
- X Large
Name of the friend that might be attending camp with you.
Parent or Guardian Section
Parent or Guardian's Name*
First Last
Parents's Emergency Phone*
Email*
Parent or Guardian's Address*
Street Address City State ZIP Code
I confirm the following statement to be true*
Yes, my child is interested in conservation and the sport of fly fishing and has reached a level of maturity to enjoy spending 6 days and 5 nights away from home at camp.
Check box to accept
Sponsoring Chapter*
For information on the 12 TU chapters in GA click here
If you don't have a sponsoring Chapter, please choose "GA Council," and your child will be put on our waitlist for any open spots.
Email
This field is for validation purposes and should be left unchanged.

After completion – the application will be forwarded to the sponsoring Chapter for approval.

For more information contact:
Kathy Breithaupt
c/o GA Trout Camp Coordinator
194 Kitchins Lane Clayton, GA 30525
Call: (706) 782-6954 or email: chairman@georgiatu.org

Georgia Trout Camp Application

Parent or Guardian Section

After completion – the application will be forwarded to the sponsoring Chapter for approval.