Fowl Feathers Hunt Club | Northern Illinois #1 Duck and Goose Hunting Club. Register

Emergency Contact Name: *

Emergency Contact Number: *

Youth Hunters Name:

Hunting License Number: *

Hunter Safety Course Number:

Hunter Safety Issuing State:

F.O.I.D. Card Number: *

Drivers License Number: *

DL Expiration: *

DL Issuing State: *

Dog(s): *

ATV: *

ATV Liability Insurance: *

ATV Liability Insurance Start Date:

ATV Liability Insurance End Date:

Vehicle 1 Color: *

Vehicle 1 Year: *

Vehicle 1 Make: *

Vehicle 1 Model: *

Vehicle 1 License Plate: *

Vehicle 1 State: *

Vehicle 2 Color:

Vehicle 2 Year:

Vehicle 2 Make:

Vehicle 2 Model:

Vehicle 2 License Plate:

Vehicle 2 State:

What other hunting clubs have you belonged to?: *

Are you currently a member?: *

How long?: *

What organizations are you a member of?: *

Have you been convicted of felony?: *

Are you a citizen of the U.S.?: *

Are you now on probation for any criminal offense?: *

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?: *

What social media platforms are you registered to (check all that apply)?:

Facebook
Instagram
Twitter
Online forums
None

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Social media usernames: *

Number of days each season you normally hunt: *

Select any days you normally hunt:

Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays

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How did you hear about us? (Name of sponsor (current member) if any): *