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.
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REQUEST MAY RESULT IN PERMISSION TO HUNT BEING WITHDRAWN.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to NVCA Policy may result in Permission to Hunt on NVCA Owned Lands being withdrawn.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: _____________________