Hunt Application for 2007 – 2008
Sunrise Disabled Hunters Program
303-254-4676
Email: elkhuntbob@yahoo.com
http://www.sunrisedisabledhuntersprogram.org
Application Date:__________________
Name: ___________________________________ List All Phone #s: _________________________________
________________________________________________________________________________________
Address: _________________________________________________________________________________
City: _________________________________ State ______ Zip ________________________________
Age ______ Date of Birth: ________________ Height ___________ Weight ____________
Parent’s Names (if under 18): _______________________________________________________________
________________________________________________________________________________________
Email Address: ______________________________________________________
How long ill/disabled? __________________________________ Describe illness/disability in detail:
______________________________________________________________________________________
Years of Hunting Experience: ________
How many deer or other game have you taken since ill/disabled? ______________
Largest Buck Taken:_______________________ # of Deer or Other Large Game Taken: ___________
Upland Game Birds: _____________________ Other: ________________________
Do you have a hunter safety card/certificate? ________ Yes _______ No
Are you a registered disabled hunter? _______ Yes ______No If no, would you like to be?_________
Other Organizations you are involved with: _____________________________________________________
________________________________________________________________________________________
If in Wheelchair, Indicate Type: ______Electric _______Manual ______ Width of Wheelchair
Please explain the mobility you have in a hunting environment.______________________________________
________________________________________________________________________________________
Do you need a special gun rest in order to hunt? ______ If yes, do you have one? _________
Can you be easily transferred into a 4WD pickup for transporting? ____________________________
Hunting Preference: _________ Trophy animals only _______ Any male ______ A female is fine
________ Turkey _________ Upland Game birds Specify: __________________________
Do you have: ______High powered rifle w/scope ______Rifle w/out scope _______Shotgun
______Muzzleloader ______ Compound Bow __________Crossbow
List what make, caliber and scope type and power: _______________________________________________
Page 2: SDHP Application for Hunt
What equipment and/or special equipment do you need? __________________________________________
Can you tolerate heat/cold? _____Normally ______Somewhat less then normal _____ No
Further explanation if needed: _______________________________________________________________
Describe any dietary restrictions: _____________________________________________________________
Are you allergic to anything in the outdoors? __________If yes, what? ________________________________
What mode of transportation would you use to get to the hunt? ______________________________________
Do you need transportation? ____________ Specifically: __________________________________________
Give clothing and shoe sizes for you and your hunting buddy if needed:
You: ________Shirt _______ Pants ________ Jacket __________Boot/Shoe
Hunting Buddy: ________Shirt _______ Pants ________ Jacket __________Boot/Shoe
Note: Clothing is rarely provided but can be on select hunts.
Please list any special accommodations you need:________________________________________________
________________________________________________________________________________________
Please list any special medical attention needed during your hunt: ____________________________________
________________________________________________________________________________________
At what distance can you hold 5 shots in a 3” group?
___Under 20 yds ___ 20 yds _____50 yds _____100 yds ____200 Yds ___ 300 Yds ____Over 300 Yds
Have you been involved in another organization’s special hunting trip or are being
considered for one? If yes, please explain and list what game was/will be taken:.______________________
________________________________________________________________________________________
Can you hunt with a guide? ______ Do you need to have a hunting buddy present? ____ Yes _____No
Indicate what your mobility allows you to use on a hunt:
_______ Ground Blind Elevated Stand w/Steps _______ Climbing Tree Stand
_______ Elevated Stand w/Ladder Elevated Loc-On w/Tree Steps
Additional comments:_______________________________________________________________________
________________________________________________________________________________________
By making application with SDHP Hunt, the applicant and all parties involved agree that all information is true and
correct and that SDHP has the permission to use your name as well as photographic images for the coordination
and promotion of the event you’re applying for
____________________________ ____________ ___________________________ __________
Applicant’s Signature Date Parent Signature (if under 18) Date
Please enclose at least one photo of applying hunter and mail to:
Robert Gibbs
c/o 17800 W. Colfax Ave.
Golden, CO 80401
Phone: (303) 254-4676
Email: elkhuntbob@yahoo.com
Web: http://www.sunrisedisabledhuntersprogram.org
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |