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Youth Hunting Program of Florida registration form <br />Name: Date of birth: Age: <br />Are you a youth, landowner or interested volunteer? (You may check more than one): <br />1 1 Youth 1 1 Landowner/hunting club ( 1 Volunteer l 1 Organization <br />Mailing address: <br />City; State: Zip: County: _ <br />Telephone: Horne ( ) Work () Cell ( ) Fax (_) <br />If you are a youth, please provide the name of your guardian to contact for further information: <br />Daytime phone. () E-mail: Relationship: <br />Have you completed your Hunter Safety course? 1 J No ( J Yes — Student it <br />Have you previously harvested game? If so, what? <br />To be put on our mailing list to receive youth hunting information, please complete and return this registration form to: <br />Youth Hunting Program of Florida • c/o Florida Fish and Wildlife Conservation Commission, 620 South Meridian Street, Tallahassee, FL 32399-i600 <br />or fax to 850.413-7989. For more information, go to MyFWC.com/huntersafety or call 850413-0084. <br />s; f...... t~..1 ,xo P, <br />3p 000 o p ■ ■ ■ ■ ■ ■ 0 p 0 D ■ •■ ■ <br />£ m VA <br />11 d p, 'tid o $. Q o o to a' �. ro Z m c m c (D <br />�olss 1Siir f T. r R eat '8F., .05 '4'5' wMtia m5 ,.R. c,�oee � <br />o m m m m a� ❑ p i� P m o c ti Fn' +; g rl. <br />o m m' $n Fy u `'rd a.vG <br />• �, P d p7 m °x W CS N �` Oa O "� ami ya o <br />G.gN• G hr, �e m �i g•n o.�+',..y C �'a ViC o <br />m m ce a w tid COadw <br />0 POc 2 <br />8 • R' d M 5 G 1 w s Fr 0 v Yw� <br />6 OR •O d�oo cc2++ t;' S' C 'nS• w g- G p5 2 m 8'' F1�C i <br />�{ P• m tT w R A 4 ''i 7c' m ^ tJ'd coi <br />6�Oc o4B E.a m .a yor°pry ,2°Fc <br />m �% G w E' a+ a C W G. a n "° <br />C o r� G. m•�v m 1 b ^ p 2' g R m <br />G a <br />m • K w- a. <br />panionu! lag <br />:jitnx s.rarsmopcn3q <br />o == <br />