ELGIN
STEWARDSHIP
COUNCIL
MIDDLESEX
STEWARDSHIP
COUNCIL
YOUTH HUNTING DAY REGISTRATION FORM-APPRENTICE AND
MENTOR
1. Indicate which youth hunting day event you are applying to:
Elgin (Nov 28, 2015) ______
Middlesex (Nov 1, 2015) ______
Both ______
2. APPRENTICE APPLICATION:
Name of Apprentice:
Address:
Town/City:
Postal Code:
Telephone No. (Home):
E-mail Address:
Hunter Apprenticeship Safety Card Number: 708158Age on date of the event: ______
Indicate your preference to hunting in the morning or afternoon?
Indicate whether you will be
using a 12 or 20 gauge shotgun _____Have you participated in either the Middlesex or Elgin hunts
before?
. if yes, indicate how many_________
Signature:
Date:
2. MENTOR INFORMATION:
Name of Mentor:
Address:
Town/City:
Postal Code:
Telephone No. (Home):
Telephone No. (Bus):
Fax:
E-mail Address:
Date of Birth:
Do you have a valid small game hunting licence?
. If you answered No, refer
to point #5 in the notes below. Years of experience hunting upland game e.g. pheasants, grouse:
Signature:
Date:
Note the following:
1.
2.
3.
4.
5.
6.
Applications will be accepted up until October 21, 2015. Return your completed application to Elgin Stewardship
Council, 300 South Edgeware Rd, St. Thomas, ON N5P 4L1
In signing the application, you give the stewardship councils permission to check/confirm the information provided.
Hunting dogs will be supplied
Remember to bring your hunter orange vest and head cover. These are a requirement to participate
If you answered No, you will need a valid small game licence by the respective events and be prepared to show it at the
registration desk. Apprentices will be required to show their Hunter Apprenticeship Safety Card as well.
Please direct all inquires regarding the application form to Kim Murch at 519-852-5735