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My Documents
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ATV Insurance
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Emergency Contact Name:
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Emergency Contact Number:
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Youth Hunters Name:
Hunting License Number:
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Hunter Safety Course Number:
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Drivers License Number:
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DL Expiration:
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Dog(s):
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ATV:
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ATV Liability Insurance:
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ATV Liability Insurance Start Date:
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Vehicle 2 Color:
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Vehicle 2 License Plate:
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Have you been convicted of felony?:
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Are you a citizen of the U.S.?:
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Are you now on probation for any criminal offense?:
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Have you ever been ticketed or fined for a conservation law violation?:
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Have you filed personal bankruptcy within the last 10 years?:
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Have you injured anyone while hunting?:
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Have you ever claimed you were entitled to compensation from anyone for property damage or injury, resulting from a hunting accident?:
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Have you ever damaged someone's property while hunting?:
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Have you ever sued anyone for personal injury resulting from any cause?:
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Have you ever accepted payment for injuries or disability resulting from any cause?:
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Has any other hunting club ever cancelled or refused to renew your membership?:
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Do you now or plan to accept compensation as a professional hunting or fishing guide?:
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Do you currently lease land for your own hunting?:
Yes
No
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Can you read and understand this application without anyone helping you?:
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