Reg-General-1

Big Muddy Duck Hunt

P.O. Box 171

15863 Hwy 59

Mound City, MO 64470

(660)853-0699

bigmuddyduckhunt@gmail.com

Youth participant registration -- Event Date: October 26, 2019

Items To Bring

Participant T-Shirt Size (Adult Sizes Only): *

Will you be bringing a shotgun for your child? *

Mobile Phone (used for event correspondence): *

Comments/Questions/Special Needs:

Email (used for event correspondence): *

Which group are you with? *

Subject: *

Parent/Guardian/Mentor Name: *

Directions To Event

Address: (Zip Code) *

Participation is limited to youth hunters 11-15 years of age. Reservations will be filled on a first come/first served basis and limited to the first 15. Additional reservations will be added to our waiting list and contacted ONLY in the event of a cancellation. We reserve the right to refuse applicants for ANY reason. Due to high number of applications, repeated participation is not allowed.

Address: (City) *

Address: (Street) *

Event Agenda

Big Muddy Duck Hunt ©

Address: (State) *

Participant Age (11-15): *

Muddy

Participant Name: *

Enhancing the relevance of conservation in your community!

Duck Hunt

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