201510th Annual Youth “First Hunt” Application

Mississippi Valley Chapter of WTU

Notice: Please read all the information discussed prior to filling out the application.

Applicant Qualifications

The applicant must:

  • be at least 10 years of age but not older than 18 by Sept. 1, 2015
  • have documented parental or legal guardian consent
  • have parent or designated chaperon that will accompany student
  • not have previously participated in a Youth Deer Hunt program
  • have the patience and attention span to sit still and take direction during

the hunt

The applicant is NOT required:

  • to purchase a deer tag since a special permit will be authorized
  • to have a hunter’s education certificate
  • to have or obtain a firearm since one can be provided for them

General Guidelines

  • A chaperon must accompany selected student to both workshop and hunt.
  • Applicants may select a chaperon (ex. family or friend), or authorize a Mississippi Valley Chapter Member as a qualifying chaperon.
  • Successful applicants and their chaperons are required to attend a workshop in order to participate in the hunt. Chaperon must be the same person that both attend the workshop and the hunt.
  • Chaperon will be defined as one of the following:
  1. The students parent or legal guardian
  2. Designated adult determined by parent or legal guardian
  3. Authorized Mississippi Valley chapter committee member
  • All Wisconsin DNR hunting regulations will be followed during entire hunt.

Time Line

  • August 17, 2015Application Deadline
  • August 20, 2015Application Selection
  • Saturday, September 12,2015 Mandatory Workshop
  • September 26 &27,2015 2 Day-Hunt (Sat and Sun)

Instructions for Application

  1. Provide name, address, telephone number, birth date, Hunter Education Card Number (if available but not required), and signature
  2. Both the applicant and their chaperon should answer their specified essay.
  3. Mail application to the address listed at the bottom of the application by

August 14, 2015. Selection will be held on August 20,2015 and all successful applicants will be notified by phone within one week.

In the boxes provided below, please print all information requested. See front page for applicant qualifications, general guidelines and instructions.

I. Applicant Information

First Name / MI / Last Name
Address / Hunter Education Number (optional)
City / State / Zip Code
Date of Birth (mm/dd/yy) / Phone Number / Gender
 Male  Female
Signature of Applicant / Date Signed

II. Parent/Legal Guardian or Designated Adult Chaperon Information

  • This should be filled out by the individual that will attend the hunt workshop and will be present the day of the hunt!

First Name / MI / Last Name
Address / Years of Hunting Experience
City / State / Zip Code
Signature of Parent/Guardian or Designated Adult / Date Signed / Phone Number
  • If a designated adult chaperon IS NOT a parent or legal guardian, we require that the parent or legal guardian sign below to ensure that they are aware of who will be accompanying their child for the hunt.

Parental/ Legal Guardian Consent for Designated Adult Chaperon

Parent/ Guardian Signature / Date Signed

Note: All decisions concerning eligibility, status and acceptance of all submitted applications are final through the discretion of the Mississippi Valley Chapter of Whitetails Unlimited.

  1. Applicant Essay

Using the space provided below each question, the applicant only should answer the following question.

Why would you like to go hunting?

  1. Parent/Guardian Recommendation

Using the space provided, the parent/guardian of the applicant should answer the following question.

( A preference is given to applicants that do not otherwise have a hunting opportunity )

What experiences or background do you have associated with hunting?

Could you explain the applicant’s history with hunting?

Why do you think the applicant is ready for this experience and why he/she should be given this opportunity? Please also explain why you feel that the Applicant is mature enough to take instructions from the Mentor . The Mentor has the right to end the hunt if he feels that the Applicant is unsafe or un-cooperative.

Mail application to : Stan Godfrey(608)687-3080

S2640 Waletzki Rd.

Fountain City, WI 54629