THE JAVELINA HUNT 2021 Chaparrosa Ranch – LaPryor, TX Feb 17 th to Feb 21 st 2021 Name:________________________________________________________________________ Address:_______________________________________________________________________ City:_____________________________________ State:__________ Zip:__________________ Telephone #_______________________________ *Email address:_________________________________________________________________ *Receipt’s will be emailed. Texas Hunting License #__________________________________________________________ Vehicle Make, Model, Color and Plate#______________________________________________ Please mark which applies to the person on this form: _____Adult Hunter $300 _____Adult Non-hunter $100 _____Youth Hunter (15 and under) $100 _____Youth Non-hunter FREE _____Adult Non-Hunter unaccompanied $500 Please complete one form for each person attending. Cashier’s check or money order only. Make payable to Chaparrosa Ranch Complete and mail form to: David Smith 1521 Clearview Lp Round Rock, TX 78664 All persons attending The Javelina Hunt are responsible for obtaining and following all Ranch rules. Any violation of Ranch rules or state law can result in removal from the ranch and possible civil or criminal action. All persons attending The Javelina Hunt will sign a Ranch Release of Liability form upon entering the Ranch. Further, completion of this form and entry onto the Ranch is implied and explicit waiver of any claims of liability or other civil action against The Javelina Hunt Leaders or staff. Signature:_____________________________________________________________________________________ *(Parent) or (Guardian) Signature required for all Minors:______________________________________________ *Please circle which applies and age of minor here:_________
