Name Street Address Address (cont.) City State/Province Zip/Postal Code Phone E-mail
Please choose your weapon : Weapon Rifle Muzzle Loader Pistol Traditional Archery Modern Archery
If shooting Firearm, what caliber are you shooting?
Do you shoot Right or Left handed? Hand Right Left
Do you prefer a Tree Stand or Ground Blind? Stand or Blind Tree Stand Ground Blind
At what distance do you feel comfortable shooting? Yardarge Under 20 Yards 20 - 30 Yards 30 - 40 Yards 40- 50 Yards 50 yards or greater
Do you have any Health concerns that I should be aware of? This should include allergies, heart condition, or medications taking:
Do you have any Dietary needs or preferences I should be aware of?
Do you have any other comments or concerns?
