Camp Ripley Application

Submit an Application for a Camp Ripley Event

DATE YOU ARE SUBMITTING APPLICATION

Event

NAME

Sex *

Male

Female

ADDRESS

Apt, suite, etc.

Country

City

State

Zip code

PHONE

AGE

WEIGHT

(Wheel Chair Veterans Receive Preference)

BRIEFLY DESCRIBE DISABILITIES

PLEASE DESCRIBE ANY DISABILITIES THAT WILL EFFECT YOUR ABILITIES OUTDOORS

DISABILITIES

DIFFICULTIES WITH OUTDOOR TEMPERATURES

YES

DESCRIBE ANY SPECIAL NEEDS, ASSISTANCE AND/OR EQUIPMENT YOU WILL NEED

MEDICATIONS

PLEASE ANY MEDICATIONS YOU ARE TAKING IF NONE WRITE NONE

EMERGENCY CONTACT NAME

EMERGENCY CONTACT PHONE

ALLERGIES

LIST ANY ALLERGIES

PLEASE LIST ANY OTHER MEDICAL INFORMATION CONCERNING YOUR HEALTH STATUS

Date OF LAST MEDICAL CHECK UP

NAME OF MEDICAL PROVIDER

LAST YEAR YOU HUNTED AT RIPLEY

PLEASE PROVIDE A ROUGH TIME FRAME OF WHEN YOU WERE LAST OUTDOORS

LAST TIME YOU FIRED A WEAPON

WHEN WAS THE LAST TIME YOU SHOT A GUN?

DO YOU HAVE YOUR OWN WEAPON TO USE?

IF YES YOU HAVE YOUR OWN WEAPON, WHAT DO YOU HAVE?

BRANCH OF SERVICE

RANK

TIME OF SERVICE

HOW MANY YEARS OF SERVICE

DO YOU HAVE YOUR OWN TRANSPORTATION TO THE EVENT?

Do you need housing *

yes

Do you have a hunting Partner *

yes

Partners Name

Instructions

1. OUR SCREENING COMMITTEE WILL REVIEW ALL APPLICATIONS.
2. ALL APPLICANTS WILL BE NOTIFIED BY MAIL AFTER APRIL 1 (TURKEY) SEPTEMBER 1 (DEER) AS TO THEIR SELECTION
3. HUNT WILL BE HELD ON
TUESDAY-THURSDAY, MAY 1-3, 2018- TURKEY HUNT
TUESDAY-THURSDAY, OCTOBER 9-11, 2018- DEER HUNT

QUESTIONS CONCERNING THIS HUNT SHOULD BE DIRECTED TO DENNIS ERIE (320) 380-4569 OR EMAIL [email protected]

APPLICATIONS MUST BE RECEIVED BY
MARCH 23 FOR TURKEY HUNT
AUGUST 17 FOR DEER HUNT

SPACE IS LIMITED, APPLICATIONS WILL BE PLACED IN THE GENERAL LOTTERY

MANDATORY TRAINING

ALL PARTICIPANTS MUST ATTEND THIS TRAINING TO BE INCLUDED IN THE PROGRAM
HUNTERS SAFETY WILL BE GIVEN AT 10:30 AM ON THE FIRST DAY OF THE HUNT
LOCATION: CAMP RIPLEY EVENT CENTER

Captcha *

reCAPTCHA is required.