REV(12/05)
SP-119
Educational Fishing Permit
State of Idaho
DEPARTMENT OF FISH AND GAME
Application for Educational Fishing Permit
Name of Organization:
Applicant (Please type or print):
Name
Address City State Zip
SSN (required) Driver’s License No. Driver’s license issue date Telephone No.
Gender Height Weight Eye Color Hair Color Date of Birth
Number of Participants: _________________
Date of Event:_____________________
Location of Event: ________________________________
Time of Event: ___________/____________
(From)
(To)
Fishing license number of applicant: __________________________________________________________
Special Restrictions:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
The Education Fishing Permit entitles the above named person to hold a Department of Fish and Game
sanctioned fishing clinic or class (under Idaho Code 3-401(f)). Those persons accompanying the above named
person shall be entitled to fish without a license in the above named clinic or class provided that all other rules
and regulations of the Idaho Fish and Game Commission are adhered to.
_________________________________________________
_____________________
Signature of Applicant
Date
_________________________________________________
_____________________
Conservation Officer
Date