Introduce apprentice 25 hunters in a high quality pheasant hunt.
The Essex Youth Pheasant Hunt on September 29 th will be promoting hunting for 25 apprentice hunters and mentors during Youth Hunting Day September 29 2012.
During the day kids will learn hunter safety, ethics and social camaraderie with their mentors and volunteers and enjoy a great time.
The day will consist of Orientation and Hunter Safety
Trap station will be set up for shooting
How to field dress a pheasant
LUNCH provided
Demonstrations
Pre Registration for 25 apprentice hunters and mentors is required.
Please download and print the registration form below
Apprentice Form revised 2012-06-27
Essex Youth Pheasant Hunt
Date of Hunt: Location of Hunt:
Contact Person: Address:
Youth Involvement Hunting Day Registration Form – Apprentice
September 29, 2012 Time: 8:00 a.m. New Breed Farm – 2807 County Road 12, Essex, Ontario
Wayne Roy
47 Prospect Street
Telephone: EMAIL:
519-682-9381 Cell: 519-365-5972 Essex_County_Youth_Hunt@hotmail.com
Postal Code:
Email:
Gauge of Shotgun to be used:
Tilbury, Ontario 1. APPRENTICE APPLICATION:
N0P 2L0
Name of Apprentice: Address:
Town/City:
Home Telephone: Date of Birth:
/
/
(month)
Hunter Apprenticeship Certificate Number:
(day)
(year)
Date of Issuance of Apprenticeship Number:
Ontario Hunter Education Course Certificate Number:
Date of Issuance of Hunter Education Number:
How many years have you been participating in the Hunter Apprenticeship Safety Program?
Signature:
2. MENTOR INFORMATION: Name of Mentor:
Address:
Town/City:
Home Telephone:
Email:
Date of Birth: /
Date:
Postal Code:
Work Telephone:
/
Fax Number:
(month)
Years of experience hunting upland game e.g. pheasants, grouse:
Signature:
Note the following:
1. Applications will be accepted until September 22, 2012
Outdoors Card Number:
Date:
(day)
(year)
2.
3. Remember to bring your hunter orange vest and head gear
4. Hunting dogs will be supplied
5. Return completed application to Wayne Roy at the address noted above or scan it and email to:
In signing the application, you give the Essex Youth Pheasant Hunt committee permission to check/confirm the information provided
Essex_County_Youth_Hunt@hotmail.com

