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Emergency Contact Name *

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Youth Hunters Name

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Have you ever been ticketed or fined for a conservation law violation? *

Have you filed personal bankruptcy within the last 10 years? *

Have you injured anyone while hunting? *

Have you ever claimed you were entitled to compensation from anyone for property damage or injury, resulting from a hunting accident? *

Have you ever damaged someone's property while hunting? *

Have you ever sued anyone for personal injury resulting from any cause? *

Have you ever accepted payment for injuries or disability resulting from any cause? *

Has any other hunting club ever cancelled or refused to renew your membership? *

Do you now or plan to accept compensation as a professional hunting or fishing guide? *

Do you currently lease land for your own hunting? *

Can you read and understand this application without anyone helping you? *

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