Application Form - Colorado Division of Wildlife

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Hunter Outreach Application - General Information (All applicants must complete) (Please Print) Personal Information Last name: ________________________________ First name: __________________________ Middle initial: ____ Age:_____ Date of birth: ____/____/____ Gender: M____ F____ Contact Information Mailing Address:__________________________________________ City: _____________________ State: _____ Zip: ____________ Parent’s name(s): ___________________________ ___________________________ Phone: Daytime ( ) _______________ Evening ( ) _______________ Parent Email: _______________________________________________________ Hunter Education Card Number: ___________________ (All applicants must have a valid HE number before applying) CID Number: __________________________________ How you heard about the program: ____ Newspaper ____ Prior participant ____ Friend ____CPW employee Other (Please list) _____________________
Youth Cow Moose Hunt Application Requirements: Experience level: Beginner – Advanced. Applicant must be able to consistently achieve a 3 shot group no greater than 4 inches at 100 yards from a supported rest with the firearm they bring to the hunt. Ages: 12 – 17 Licenses: Will be notified of proper license if selected for hunt. Sponsor: One parent/guardian/adult sponsor required to attend hunt with youth Firearm: Hunters are required to supply their own scoped rifle and factory loaded ammunition (.270 or larger caliber), Firearm and proficiency will be checked by Hunt Coordinator prior to hunt. To apply answer the following questions and sign at the bottom (if a question does not apply to you leave it blank): 1) Have you ever had a hunting/fishing license? a. Hunting: Yes___ No____ b. Fishing: Yes ___ No ____ 2) How many years have you hunted? ______ In CO (# yrs)? _____ 3) What have you hunted for? ___ Big game ____ Small game ____ Waterfowl 4) If you have hunted big game, were you successful? _____ 5) How many have you harvested? Species # ___________ ______ ___________ ______ ___________ ______ 6) Did you apply for a big game license through the draw this year? ________ a) Were you successful? Yes___ No___ b) What kind of licenses received? ____ Deer ____ Pronghorn ____ Elk _____I have not previously participated in a Hunter Outreach Cow Moose hunt. (Place initials on the line provided if this is a TRUE statement) Hunter’s name (printed): _______________________________ Signature of hunter: __________________________ Date: _________ Name of adult attending hunt (printed): _____________________ Signature of adult attending hunt: _____________________Date: ________
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Application Form - Colorado Division of Wildlife

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