Better Country Kix 105 's Huntin & Fishin with Harry’s 5th Annual Big Buck Contest ENTRY SUBMISSION (PRINT AND KEEP until deer is harvested, then turn in with photo) Name of Hunter _____________________________________________________________ Address _____________________________________________________________Phone ______________________ Date/Time Entered At Station________________ Filled in by radio station personnel CATEGORY ENTERED (circle ONLY one) Firearm Archery Youth DATE HARVEST _____________COUNTY ___________________TELECHECK #_________________CONFIRMATION # _____________ I authorize the Missouri Department of Conservation to release tele-check information about my kill to the organizers of this contest. Signature (parent or guardian if under 18) _________________________________________ (Incomplete forms are ineligible) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -PRE-REGISTRATION FORM (DETACH and turn in with $10 entry fee before harvest) Name _____________________________________________________Age:____________ Date Registered ________________ Address __________________________________________________________________Phone ______________________________ CATEGORY ENTERED (circle ONLY one) Firearm Archery Youth By my signature below I agree to be bound by the rules of the contest, that I agree to hold harmless Townsquare Media, its affiliates and sponsors from any and all liability arising from my participation in this contest, and that I am 18 years or older, or the parent or legal guardian of any participant under the age of 18. Signature ____________________________________________________________ Make checks payable to “Wounded Warrior Project” & drop off with pre-registration form at KXKX Studios, 2209 S. Limit in Sedalia 65301: Rules: 1. This contest and all rules are subject to the laws and hunting regulations of the state of Missouri. All contestants must be legally permitted to take deer according to the 2012 Missouri Hunting Regulations. Valid Missouri Farm permits are acceptable. Pre-registration is required.* 2. A picture of the deer must be submitted showing the deer’s antlers and a ruler, clearly visible. All entries will be assessed and those with what appear to be the largest antlers will be asked to bring the rack in for official scoring. 3. In the event of a scoring tie in any category, the winner will be determined by the date and time of entry submission. 4. No High-Fence deer harvests are allowed. No out of state deer harvests are allowed. 5. Townsquare Media and its sponsors are not responsible for any injuries or accidents arising from participation in this contest or any related events. 6. Registration fee of $10 must be turned in prior to harvest. One registration fee per category: Rifle, Archery or Youth. You can enter more than one category for $10 entry fee each time. Archers turning in a 2nd buck entry must turn in a second entry fee. 7. Any antlered deer may be entered, regardless of gender. 8. Only deer harvested during the 2013 season during the dates below are eligible for prizes. Categories Archery: May be entered by any hunter with a valid Missouri Archery Deer permit. The archery portion of the contest will run from September 15th, 2013 to January 15th, 2014 and entry deer must be tele-checked not later than January 15th. Firearms: May be entered by any hunter with a valid Missouri Firearm Deer permit. The firearms portion of the contest will run from November 16th 2013 to November 26th, 2013 and entry deer must be telechecked not later than November 20th. Youth: May be entered by any person under the age of 16 with a valid Missouri Youth Deer permit, and properly supervised by an adult with permission of a parent or legal guardian. Make checks payable to “Wounded Warrior Project” & drop off with pre-registration form at KXKX Studios, 2209 S. Limit in Sedalia 65301: Thanks to our sponsors: Vinson’s Pawn & Gun MO Kids Outdoors & Whitetails Valiant Gun & Pawn Cummings Wildlife Studio Stone Laser Imaging Charlie’s Taxidermy Treestand Archery Pro Shop 660-826-0627 660-596-8545 660-553-5023 660-492-3524 660-596-8545 660-826-2533 660-826-6162
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