Youth Hunting Application Applicant Information Full Name (required) Address (required) Date of Birth (required) Gender -MaleFemale 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 -MaleFemale Daytime Phone Evening Phone Mobile Phone Relation to Applicant -ParentGuardianGrandparentExtended FamilyOther 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 -ParentGuardianGrandparentExtended FamilyOther 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. Enter Text