I am no longer accepting applications
Terry McBride
PO Box 606
407 West Main
Hardin, IL 62047
618-653-4344
Hunting Application (please print)
Name:___________________________________________________________
Last First M.I.
Address:_________________________________________________________
City:__________________ State:_________________ Zip:________
Phone:___________________________________________________________
Who to contact in case of an emergency:______________________________
_________________________________________________________________
Drivers License: ______________________ Date of Birth:_________________
Hunting License number_________________Permit number_________________
Number in Hunting Party:____________________________________________ Profession________________________________________
If any handicaps we should be prepared for please list, such as not being able to walk much, broken arm or leg, not being able to climb, etc: _________________________________________________________________
_________________________________________________________________
Type of Bow:______________________________________________________
Preference on stationary hunting: (Check all that apply)
____ Mid-High Portable
____ Mid-Low Portable
____ Ladder Stand
Whitetail bowhunting experience:_____________________________________
_________________________________________________________________
You are responsible for:
1. Bringing your favorite stand (optional)
2. Your own hunting equipment and personal items
3. Scent killers, special soaps, sprays, etc.
Animals Taken:
________________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Services Provided by Outfitter _____________________________________
NO Guaarantees, either oral or written, have been made as to the seccess of the hunt
Not responsible for any loss or theft. No refunds of any kind are made. Only the outfitter reserves the right to cancel and make refunds. All hunters must follow all state and federal hunting regulations. To do so will result in an immediate termination of all hunting privlidges and outfitters obligations. Any hunter who receives a ticket for a hunting violation will be responsible for paying the fine as well as any subsequent fines that the guides/outfitters may receive.
Dates of hunt ___________ to ___________
Amount paid __________________
_______________________________________________________________
Signature Date