OPERATION REBOOT MOOSE MISSION APPLICATION FORM

PLEASE SUBMIT THIS FORM TO BE PUT IN FOR THE OPERATION REBOOT MOOSE MISSION IF YOU WERE DRAWN IN THE STATE LOTTERY. ALL FIELDS ARE REQUIRED. IF SELECTED, YOU WILL BE CONTACTED.

*IF SELECTED, ANY UNAPPROVED DROP OUTS WILL BE PLACED ON A 3 YEAR PROBATION FROM PARTICIPATING IN ANY OF OUR FUTURE MISSIONS.

Name

First Name

Last Name

Phone

(###)

###

####

Location your will be traveling from

Brief description of your service

*Include Branch of service

Have you ever moose hunted before? What is your experience?

Are you affiliated with any other organization? If yes, what organization? What events have you participated in?

If selected, hunter will be responsible for travel and purchasing of required licenses. Are you willing to meet these requirements?

Yes

If selected NO, please give brief reasoning

What season?

Season 1 (Bull Only) - September 23rd - 28th

Season 2 (Bull Only) - October 14th - 19th

What Zone?

Do you have any limitations that will effect your ability to hunt in rugged conditions and remote areas?

What weapon will be used to harvest a moose? Please specify type and caliber.

Emergency Contact Information

(Name, Email, Phone, Relation of contact)

OPERATION REBOOT MOOSE MISSION APPLICATION FORM

Our Mailing Address

OPERATION REBOOT OUTDOORS, TURNER, ME, USA