ANNUAL PERMISSION TO HUNT ON NVCA LANDS MINESING WETLANDSOSPREY by fdjerue7eeu

VIEWS: 6 PAGES: 1

									                                             ANNUAL PERMISSION TO HUNT ON NVCA LANDS
                                               MINESING WETLANDS/OSPREY WETLANDS
                                                       2010 CALENDAR YEAR

                     Each applicant must complete a Permission to Hunt on NVCA Lands form. Please note:
                  There is an administration fee required for each application. * must be filled in

A.      Personal Information:                                 * Date of Birth:           _____/_____/____
                                                                                         Day Month Year

*                                                             *
Last Name                                                     First Name


*
Mailing Address                    City/Town                           Province                            Postal Code

*
Home Telephone No.

*
Game Hunted and Type of Firearm to be Used (i.e., deer-shotgun)        Duration of Hunt Time         Location of Hunt Activities

*
Are You Legally Eligible to Hunt in Ontario?                  Current Ontario Outdoor Card No.
       Yes                No

*
In Case of Emergency Notify (name, address, postal code and phone number)


  ALL WHEELED MOTORIZED LAND VEHICLES ARE PROHIBITED ON NVCA-OWNED
LANDS LOCATED WITHIN THE MINESING WETLAND. FAILURE TO ADHERE TO THIS
      REQUEST MAY RESULT IN PERMISSION TO HUNT BEING WITHDRAWN.

I hereby declare to my knowledge, the foregoing information is true and complete. I understand that a false statement or actions contrary
to NVCA Policy may result in Permission to Hunt on NVCA Owned Lands being withdrawn.

Applicants Signature:                                                  Date:

_________________________________________________                      __________________________________________________

Return to:        Chief Administrative Officer/Secretary-Treasurer
                  Nottawasaga Valley Conservation Authority
                  8195 Line 8, Utopia, Ontario L0M 1T0
                  (Phone) 705-424-1479; (fax) 705-424-2115



                                                    FOR OFFICE USE ONLY

Permission to Hunt on NVCA Lands: Approved_______                          Denied_______

MNR Reviewed: ___________________________ NVCA Authorization: _____________________

								
To top