Freedom Hunt Southern Swing Registration
Email address
All participants and parent(s)/guardian(s) attending the Freedom Hunt Southern Swing will be required to sign a legal waiver upon arrival at the campgrounds. A copy of the waiver is below.
Date of Birth
mm/dd/yyyy
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Name
Your answer
Age
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Indiana State Hunting License Number
A valid hunting license is required to participate in the acutal hunt.
Your answer
Parents/Guardians Names
Your answer
Childs Needs
Please describe applicant"s special need(s) (Ex. dietary, allergies, etc.)
Your answer
Will a wheelchair be required?
Required
Outdoor Experience?
Please list the approximate number of times the child has been hunting, fishing, and camping.
Your answer
Apparel Size?
Please list the applicants apparel size (specify child or adult) for shirt, pants, and boots
Your answer
Parent/Guardian shirt size?
Your answer
Emergency Contact
Please list name and number of the Emergency Contact.
Your answer
Relationship
Please list the relationship of the contact to the applicant.
Your answer
Will you be supplying your own firearm?
Will you be attending the entire weekend or departing on Saturday evening?
Copy of waiver to be signed upon arrival
All participants must sign below: (If under 18, a parent or legal guardian must also sign)

The participant, by signing below acknowledges this program involves some risk and
he/she assumes responsibility for his/her actions and for injury that may result from
participation, and also waives and releases all other participants, the land donors,
Freedom Hunt (FH), sponsors, instructors, the National Wild Turkey Federation (NWTF)
and Wheelin’ Sportsmen (WS) program, and/or all other parties involved in the event
from all claims and/or damages/injuries incurred in connection with this event. In
addition, participant grants the sponsors, co-sponsors, and the NWTF, WS and
participating videographer(s) the unconditional right to use the name, voice, and
photographic likeness of the person listed above, in regards to any of the publication and
audio/video.


*Participant/guest(s)/guardian(s) also acknowledge that the possession, use, and/or
ingestion of any alcohol and/or illegal substances immediately prior to and/or during
Freedom Hunt activities will result in the immediate removal and disqualification of all
individual(s) from Freedom Hunt activities.



By signing below, you are acknowledging the following information:

a. I have read, understand, and accept all terms and conditions contained in the
Freedom Hunt Application; and
b. I have read, understand, and accept all terms contained in the Freedom Hunt
cover letter accompanying this application.


____________________________________ ______________________________
Signature of Applicant Print Name


____________________________________ ______________________________
Signature of Parent/Legal Guardian Date
(if Participant is under 18)
A copy of your responses will be emailed to the address you provided.
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