Dan Fout Memorial Hunt Application
This application will determine your eligibility for the Memorial Hunt Drawing.

Please finish ALL Sections to Complete your Application.

Email address *
Full Name *
Your answer
Physical Address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Branch of Service *
Your answer
Check Hunt Or Hunts You Want To Attend *
Required
Do You Have Limited Walking Ability? *
Will You Be Using A Wheelchair? *
If "No," Plan To Bring Seating That Will Make You Comfortable.
Are You Able To Ride An ATV Or 4-Wheeler? *
Any Allergies (Food, Medication, Insect Bites, Etc?) *
If Yes, List Allergies. *
Your answer
Do You Carry An Epipen? *
Will You Require Any Special Medical Attention During The Event? *
Your answer
OTHER THAN THE EVENT GUIDE, Will You Need Additional Person(s) To Assist You While Hunting? *
IF YES, Please Add Their Information In The Last Section Of This Form
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