Special Hunt Application

Fall 2010
Please fill out this form completely and accurately. Only one application per period per hunter is allowed. Good luck!

Deadline for application is 11:59pm CDT September 30, 2010
     
Important - Please Read

Review the Fall 2010 Special Hunts Booklet before filling out this form. It is important to note that some hunts require youth or novice hunter participation, so make sure you understand the type of hunt being offered before applying.

This online application requires an e-mail address. Successful applicants will be notified by e-mail only. If you do not have an e-mail address or are unable to use this form you may apply by phone. Call (620) 672 5911 and ask for Fisheries & Wildlife. You may refer other potential applicants who may not have internet access to this phone number as well.
Personal Information
First Name: Middle Initial: Last Name:
Address:
City: State: Zip:
Phone: - -
E-mail:
Verify E-mail:
Date of Birth: / /
Acknowledgement:
Checking this box indicates your acknowledgement that the personal information on this form is true and accurate to the best of your knowledge. Fraudulent and duplicate entries will be discarded.

Hunt Preferences

List preferences only once per column; repeating the same choice three times will not increase your chances of selection. Select 'ANY' date option for best odds of a successful application. You must select a hunt code - selecting 'ANY' by itself will not work.

Open the Fall 2010 Hunt Code Table in a new window for details. Note: this is the second of two draws. Apply now for November–February hunts. The application period for September/October hunts is closed

To erase a selection, choose the blank option (first in the list).

Choice Upland/DoveWaterfowlDeerFall Turkey
1st
2nd
3rd