Name
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First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
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Email
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Age of Applicant
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Are you attending school?
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Do you have any siblings?
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Describe your disability
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Please check any of the following that you enjoy:
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Kayaking
Bass Fishing
Perch Fishing
Catfish Fishing
Fallow Deer Hunting
Whitetail Deer Hunting
Blackbuck Antelope Hunting
Axis Deer Hunting
Duck Hunting
Wild Hog Hunting
Clay Shooting
Shooting (Rifle or Pistol)
Hiking
Walking/Running
Archery
Please add any outdoor activities that you enjoy and are not on the list above:
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Have you participated in any Free Hunts or Fishing trips? If so, where, when, and with what organization?
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What species have you hunted?
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What species have you harvested?
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If you hunt, what weapon do you use?
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Where have you fished?
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What species have you fished?
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What is your preferred method of fishing?
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Write a description of who you are and how you currently view your life:
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Please inform us of why you would like to participate with Helping Heroes Hunt:
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Please list and explain any recent legal issues:
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Have you ever participated in a non profit program(s)?
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Yes
No
If so, what was the organization(s)?
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Please describe any adaptive equipment that may be needed to help you hunt and/or fish. (Such as an action track chair.)
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We offer hunting of the following animals: Axis Deer, Blackbuck Antelope, Ducks, Fallow Deer, Pigs, Whitetail Deer.
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Please let us know your top 3 hunting choices:
Axis Deer
Blackbuck Antelope
Ducks
Fallow Deer
Wild Hogs
Whitetail Deer