Youth Hunting Application

    Applicant Information

    Full Name (required)

    Address (required)

    Date of Birth (required)

    Gender

    Is the youth on any medications?
    YesNo

    If yes, please describe:

    Please describe any allergies, handicaps, or other medical conditions:

    Does the youth have any previous experience in hunting?
    YesNo

    If yes, please describe:

    Does the youth have any previous experience harvesting game?
    YesNo

    If yes, please describe:

    Parent/Guardian Information (must be 18 years or older)

    Full Name (required)

    Address (required)

    Date of Birth (required)

    Gender

    Daytime Phone

    Evening Phone

    Mobile Phone

    Relation to Applicant

    Hunting Experience

    Hunter Safety Information

    Name on Certificate

    Date Completed

    Certificate/License Number

    Have you ever been convicted of a felony?
    YesNo

    Emergency Contact

    Full Name (required)

    Address (required)

    Phone

    Relation to Applicant

    Reservation Information

    Class*
    Beginner - Youths aged 10-16 years with no previous hunting experience.Intermediate - Youths aged 10-16 with limited hunting experience; familiar with the basics.Experienced - Youths aged 10-16 years with extensive hunting experience.

    * Please note that the Old meadow Hunt Master will have the right to determine which final category the youth will hunt in. He or she may also terminate any hunt due to unsafe or unethical behavior, or failure to follow directions.

    Desired Start Date

    Desired End Date

    What kind(s) of hunting is the youth interested in?
    RifleShotgun

    What kind of game is the youth interested in?
    MooseDeerBearTurkeyGrouseRabbit

    The following forms must be submitted with this application:

    • Parental consent form
    • Current hunting license and/or certificates

    Please fax or mail copies of the above so that we may confirm your eligibility for Old Meadow Camp. By submitting this form, you acknowledge that Dean Young Forestry is not liable for any accidents or injuries that occur during your stay at Old Meadow Camp.

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