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FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION Division of Hunting and Game Management — Hunter Safety Section YOUTH HUNT ANNOUNCEMENT FORM (Exhibit A) DETAILS OF YOUTH HUNT Name of Ranch/Hunting Club: Dates of Youth Hunt: Emergcncy Phone tt During Youth I lent: Location of Youth Hunt (Nearby City/Town and County — Attach Map of Property for Exhibit B) Approximate acreage: Landowner Contact Information (LANDOWNER Name, Address, Street) State Zip Agency Representative: Agency Representatives Phone Assigned Huntmaster(s): Huntmaster Phone (please include area codes) Days Evening Cell Hunt Information Type of Hunt (deer, dove, duck, squirrel, quail, turkey, etc. - be specific listing sex [if applicable] and quantities desiring to he ban ested.) Number of youth hunters supplied by landowner: Number of youth hunters supplied by YHPF: Total number of youth hunters: Will hunters be camping? ❑ Yes ❑ No Is there fishing access that the LANDOWNER authorizes COMMISSION to use? ❑ Yes ❑ No Are there cooking facilities that LANDOWNER authorizes COMMISSION to use? ❑ Yes ❑ No If yes, please describe: Will Huntmaster need cooking equipment, food or help making food arrangements? ❑ Yes ❑ No if yes, please describe: Are there lodging facilities that LANDOWNER authorizes COMMISSION to use? ❑ Yes ❑ No If yes, please describe: Will Huntmaster need camping supplies and/or equipment from YHPF? ❑ Yes ❑ No If yes, please describe: Are there game cleaning facilities that LANDOWNER authorizes COMMISSION to use? ❑ Yes ❑ No If yes, please describe: Are there permanent hunting stands that LANDOWNER authorizes COMMISSION to use' ❑ Yes ❑ No If yes, please describe : Will Huntmaster need hunting supplies and/or equipment from YHPF? ❑ Yes ❑ No If yes, please describe: Youth Hunting Program of Florida c/o Florida Fish and Wildlife Conservation Commission 620 South Meridian Street Tallahassee, FL 32399-1600 (850) 413-0084 (850) 413-7989 (fax) MyFWC.com Rev. 7.29.705 116