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2023 Duck Classic Youth Hunt Registration
MY ACCOUNT
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2023 Duck Classic Youth Hunter Information
1
1 Parent/Guardian Info
2
Hunter #1
3
Hunter #2
4
Hunter #3
5
Hunter #4
Primary Parent/ Guardian Information
*
First
Last
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Team Name
Email
*
Parent Shirt Size
*
S
M
L
XL
XXL
XXXL
Hunter #1 Information
*
First
Last
Hunter #1 Age
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Hunter #1 Shirt Size
*
S
M
L
XL
XXL
XXXL
Consent
*
I have read and agree to the Liability Waiver (Parent or Legal Guardian if hunter is under 21 years of age):
In consideration of acceptance of this entry, I, intending to be legally bound, hereby, for myself, heirs, executors, and administrators, wave and release NEA Baptist Charitable Foundation, its sponsors, landowners, hosts, committee members, board of directors, and any co-sponsors and their respective representatives, successors and assigns for any and all rights or claims for damages I may have arising as a product of this event, and even if such illnesses may arise if such illness or injury is caused by the negligence of such parties. I attest and verify that I will participate in this event as a duck hunter, and that I am physically fit and have sufficiently trained for competing in this event. Furthermore, I hereby grant full permission to any and all of the aforementioned, to use my name and any photograph, videotape, motion picture, recording or any other record of me participating in this event, for any purposes without obligation or liability to me.
Hunter #2 Information
*
First
Last
Hunter #2 Age
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Hunter #2 Shirt Size
*
S
M
L
XL
XXL
XXXL
Consent
*
I have read and agree to the Liability Waiver (Parent or Legal Guardian if hunter is under 21 years of age):
In consideration of acceptance of this entry, I, intending to be legally bound, hereby, for myself, heirs, executors, and administrators, wave and release NEA Baptist Charitable Foundation, its sponsors, landowners, hosts, committee members, board of directors, and any co-sponsors and their respective representatives, successors and assigns for any and all rights or claims for damages I may have arising as a product of this event, and even if such illnesses may arise if such illness or injury is caused by the negligence of such parties. I attest and verify that I will participate in this event as a duck hunter, and that I am physically fit and have sufficiently trained for competing in this event. Furthermore, I hereby grant full permission to any and all of the aforementioned, to use my name and any photograph, videotape, motion picture, recording or any other record of me participating in this event, for any purposes without obligation or liability to me.
Hunter #3 Information
*
First
Last
Hunter #3 Age
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Hunter #3 Shirt Size
*
S
M
L
XL
XXL
XXXL
Consent
*
I have read and agree to the Liability Waiver (Parent or Legal Guardian if hunter is under 21 years of age):
In consideration of acceptance of this entry, I, intending to be legally bound, hereby, for myself, heirs, executors, and administrators, wave and release NEA Baptist Charitable Foundation, its sponsors, landowners, hosts, committee members, board of directors, and any co-sponsors and their respective representatives, successors and assigns for any and all rights or claims for damages I may have arising as a product of this event, and even if such illnesses may arise if such illness or injury is caused by the negligence of such parties. I attest and verify that I will participate in this event as a duck hunter, and that I am physically fit and have sufficiently trained for competing in this event. Furthermore, I hereby grant full permission to any and all of the aforementioned, to use my name and any photograph, videotape, motion picture, recording or any other record of me participating in this event, for any purposes without obligation or liability to me.
Hunter #4 Information
*
First
Last
Hunter #4 Age
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Hunter #4 Shirt Size
*
S
M
L
XL
XXL
XXXL
Consent
*
I have read and agree to the Liability Waiver (Parent or Legal Guardian if hunter is under 21 years of age):
In consideration of acceptance of this entry, I, intending to be legally bound, hereby, for myself, heirs, executors, and administrators, wave and release NEA Baptist Charitable Foundation, its sponsors, landowners, hosts, committee members, board of directors, and any co-sponsors and their respective representatives, successors and assigns for any and all rights or claims for damages I may have arising as a product of this event, and even if such illnesses may arise if such illness or injury is caused by the negligence of such parties. I attest and verify that I will participate in this event as a duck hunter, and that I am physically fit and have sufficiently trained for competing in this event. Furthermore, I hereby grant full permission to any and all of the aforementioned, to use my name and any photograph, videotape, motion picture, recording or any other record of me participating in this event, for any purposes without obligation or liability to me.
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