Free State Park Deer_Turkey Application.xls - Indiana

Indiana Department of Natural Resources State Form 52673 (R2 / 4-08)

State Park Deer Reduction & Wild Turkey Application
Please fill in your name and address below as well as the required information for the hunt(s) of your choice. Please read the instructions prior to completing this form. Only Indiana residents with a valid Indiana License to take deer may apply for the Indiana State Park Deer Reduction Hunts. You may use this application to apply for both hunts together. However, applications will not be accepted before July 1, 2008. Mail your completed application to: IDNR Reserved Hunts; 402 W. Washington St. W160A; Indianapolis, IN 46204.
Last Name First Name Initial Lifetime License No.

Address

2008 Youth License No.

City

State

Zip Hunter Ed. Cert.

Yes Yes

No

2008 Deer License No.

Date of Birth Month Day Year

Bowhunter Ed. Cert. Do you possess a valid DNR-issued person with a disability special hunting permit?

Email Address

State Park Deer Reduction Application
Select only one (1) location for November 17 and 18, 2008
Brown County SP Chain O'Lakes SP Charlestown SP Harmonie SP Indiana Dunes SP Lincoln SP McCormick's Creek SP Ouabache SP Ft Harrison SP (Archery Only)
Last Name

Due: August 15, 2008
Select only one (1) location for December 1 and 2, 2008
Brown County SP Chain O'Lakes SP Charlestown SP Harmonie SP Indiana Dunes SP Lincoln SP McCormick's Creek SP Ouabache SP Ft Harrison SP (Archery Only)
Initial

Pokagon SP Shades SP Spring Mill SP Summit Lake SP Tippecanoe River SP Turkey Run SP Whitewater Memorial SP Clifty Falls SP (Archery Only)
First Name

Pokagon SP Shades SP Spring Mill SP Summit Lake SP Tippecanoe River SP Turkey Run SP Whitewater Memorial SP Clifty Falls SP (Archery Only)
Lifetime License No.

You may bring up to two (2) buddies for the State Park Deer Reduction Hunts. Please enter their information below.

Address

2008 Youth License No.

BUDDY 1

City

State

Zip

2008 Deer License No.

Month

Date of Birth Day Year

Email Address

Does Buddy 1 possess a valid DNR-issued person with a disability special hunting permit? Last Name

Yes

No

Yes Hunter Ed. Cert. Bowhunter Ed. Cert.

No

First Name

Initial

Lifetime License No.

Address

2008 Youth License No.

BUDDY 2

City

State

Zip

2008 Deer License No.

Month

Date of Birth Day Year

Email Address Yes No

Does Buddy 2 possess a valid DNR-issued person with a disability special hunting permit?

Yes

No

Hunter Ed. Cert. Bowhunter Ed. Cert.

Indiana Wild Turkey Hunt Application
Turkey License, Lifetime License or Youth License Number Check One: Resident license Non-resident license

Due: March 13, 2009
Only ONE property box and only ONE date box may be selected for the Wild Turkey Hunt.
April 22, 23, 24 April 25, 26 April 27, 28, 29 April 30, May 1, 2 May 3, 4, 5 May 6, 7, 8 May 9, 10

Atterbury FWA Chinook FWA Crosley FWA Fairbanks Landing FWA Glendale FWA Hillenbrand FWA Hovey Lake FWA Minnehaha FWA April 22, 23, 24 April 25, 26, 27

Atterbury Military Maneuver and Training Center* April 22, 23 April 27, 28 April 29, 30 May 4, 5 May 6, 7

*Hunter ed. cert. required to hunt on this property.

Muscatatuck NWR April 22, 23, 24, 25, 26, 27, 28, 29, 30 May 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 Big Oaks NWR April 22, 23, 24 April 25, 26, 27

Jasper-Pulaski FWA Kingsbury FWA LaSalle FWA Mississinewa/F. Slocum Pigeon River FWA Roush Lake Salamonie Res./State Forest Tri-County FWA Willow Slough FWA Winamac FWA