Essex Youth Pheasant Hunt

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 [email protected]

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

[email protected]