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Youth Pheasant Hunt Registration Form

 

Please complete the form below to participate as a youth hunter in the Take-A-Kid Pheasant Hunt on Saturday, October 30, 2021.

All fields are required except Address Line 2. Individuals interested in being a Youth Hunt Volunteer should use the Youth Pheasant Hunt Mentor/Dog Handler Application Form.

Registration opens September 6 and closes October 15. Hunt is scheduled rain or shine. For questions/concerns contact the R3 Program at (856) 629-1014.

  * = required

* First Name

* Last Name

* Address Line 1

   Address Line 2

* City

* State * Zip -

* Daytime Phone - -

* E-mail Address

* Confirm E-mail Address

* Conservation ID Number (CID#)

* What Gauge Shotgun Will You Be Using?

* Preferred Location:

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Copyright © State of New Jersey, 1996-2020br> Department of Environmental Protection
P.O. Box 402
Trenton, NJ 08625-0402

Last Updated: September 7, 2021