Aquidneck Fishing Academy

Summer Camp
Sign Up.

Please complete the form below. You'll receive a follow-up email confirming acceptance into camp with payment details. Do not pay any deposits unless you receive a text from Captain Justen directly with deposit details — 617-223-7201. We'll also send a Fishing Waiver & Release Form that must be completed before the deposit.

Legal Guardian

First name

Last name

Phone

Camp session

What week would you like to sign up for?

How many children?

Child #1

First name

Last name

Birth date

Shirt size (for life jacket purposes)

Address

Address line 1

Address line 2

City

State

ZIP

Country

Emergency & health

Emergency contact (name, relationship & phone)

Allergies & medications

For any allergies, special health care needs, or disabilities we'll put together an Individual Care Plan & Authorization for the Administration of Medication form before camp starts.