(OFFICE USE ONLY)

HUNT COST

7% Fed-State Taxes

TOTAL

Deposit pd……

BALANCE DUE

Bal. Due 30 Days Prior to hunt

RICK WEMPLE OUTFITTING, inc.

RESERVATION APPLICATION

PHOTO COPY IF MORE APPLICATIONS ARE NEEDED

NAME ______

STREET / P.O. BOX______

CITY ______STATE ______ZIP ______HOME PHONE: A/C______/______

WORK PHONE: A/C ______/______FAX: A/C ______/______E-MAIL ADDRESS ______

SEX ______DATE OF BIRTH _____/_____/______-ALS #______EYES ______HAIR ______WEIGHT ______HEIGHT ______

MARRIED: YES ____ NO ____ HUNTER SAFETY NUMBER ______EMPLOYER ______

PHYSICAL HANDICAPS: Yes, please state:______No____

ARE YOU IN GOOD PHYSICAL CONDITION? ______HAVE YOU EVER HAD HEART TROUBLE? ______DO YOU HAVE HIGH BLOOD PRESSURE. ______DO

YOU SUFFER FROMARTHRITIS. _____ ARE YOU ALLERGIC TO CERTAIN FOODS OR DRINKS. _____ IF SO, PLEASE STATE: ______

______DO YOU REQUIRE A SPECIAL DIET? _____ IF

SO, PLEASESTATE: ______ARE YOU COLOR BLIND. _____ DO YOU HAVE NIGHT

BLINDNESS? _____ DO YOU HAVE WALKING OR HIKING DIFFICULTIES IN ROUGH TERRAIN?______

HAVE YOU PREVIOUSLYHUNTED BIG GAME? _____ IF SO, WHERE? ______TYPE OF GAME AND

RESULTS? ______HAVE YOU EVER HUNTED WITH AN OUTFITTER BEFORE. ______IF

SO, WOULDYOU PLEASE TELL US WHO? ______WHAT CALIBER RIFLE

IS YOUR FAVORITE ON A RIFLE BIGGAME HUNT SUCH AS YOU ARE BOOKING FOR? ______WHAT GRAIN BULLET ______

WHAT IS YOUR FAVORITE BOW ON AN ARCHERY BIGGAME HUNT SUCH AS YOU ARE BOOKING FOR? ( ) COMPOUND, ( ) RECURVE OR ( ) LONGBOW.

WHICH BROADHEAD WILL YOU BE USING? ______WILL YOU ACCEPT YOUR GUIDES DECISIONS ON HOW TO HUNT AND STALK THE BIG

GAME YOU ARE AFTER IN THIS AREA. ______

THE ABOVE QUESTIONS MAY SEEM TRIVIAL TO YOU, HOWEVER, THE ANSWERS WILL HELP US IMMENSELY IN MAKING

YOUR HUNTING TRIP WITH US BOTH ENJOYABLE AND SUCCESSFUL.

In consideration of being allowed to participate in the activities offered by RICK WEMPLE and RICK WEMPLE OUTFITTING, of which I voluntarily request the right of participation, I hereby state and acknowledge as follows:

1. I voluntarily request the right to participate in activities offered and understand and appreciate the risk of the activities in which I desire to participate and do acknowledge the risk of personal and/or property injury as well as death.

2. Even with such understanding and appreciation of the risk, I still desire to participate and have my minor children participate, and I do hereby fully and irrevocably release and forever discharge RICK WEMPLE and RICK WEMPLE OUTFITTING, it’s employees, agents, members, and all owners and lessees of the property from any and all legal claims, demands, actions, losses and/or legal liability of any kind of nature or description resulting from such activities sustained by me or my minor children, and further covenant to hold all said parties harmless.

3. I do hereby personally assume all risks, which may be associated with such activity. I understand and acknowledge that this is a legal and binding contract and by affixing my signature hereto acknowledge that I have read and fully understand the waivers and releases contained herein.

4. I understand that RICK WEMPLE OUTFITTING does not guarantee the taking of game, only that they will work hard in getting me into game.

5. I further understand and agree that the laws of Montana shall govern this contract (reservation application) and designate the District Court of the Fourth Judicial District, Ravalli County Montana, as the venue for any dispute arising hereunder.

CLUB MEMBERSHIP YES______NO______

MONTANA RIFLE HUNT NO. ______

MONTANA ARCHERY HUNT NO. ______

MONTANA SPRING BEAR HUNT NO. _____

MONTANA ANTELOPE HUNT NO. ______

MONTANA COUGAR, MOOSE, MTN. GOAT, OR

BIG HORN SHEEP HUNT NO. ______

Dated this ______day of ______, 2013 Printed Name ______Signature______

DATES OF HUNT: ______

RICK WEMPLE OUTFITTING, INC

P.O. BOX 1167 VICTOR MT 59875

PHONE: 406-239-1752

FAX 406-642-3869 TOLL FREE 1 800-725-4306

DEPOSIT REQUIRED WITH APPLICATION –

DEPOSITS ARE NON-REFUNDABLE