Permission for Hunting or Trapping on Private Land

Permission is hereby granted to the undersigned sportsperson for
hunting/trapping on land owned by the undersigned landowner or their
agent for the date(s) listed and according to the conditions stated
on on this permit.  

In accepting this permit, I agree to assume and release the landowner
from any or all liability for personal injuries, property damage, or
for the loss of life or property resulting from, or in any way connected
with the issuance of this permit.


Hunting/Trapping Permission Period: (check one) _____ Daily _____Seasonal


Date(s) ____/_____/_____ to ____/____/_____



Hunting License No. ______________________________________________

Address: ________________________________________________________________

_________________________________________________________________________
(city, state, zip code)

Telephone (________) ________________________________

Vehicle License No., Make, and Model: ___________________________________



Property Address:_______________________________________________________

_________________________________________________________________________
(city, state, zip code)


_______________________________________________________ _________________
Hunters Signature 		 			Todays Date


_______________________________________________________ _________________
Landowner Signature					Todays Date



Conditions
1. To respect the rights of the property owner.
2. Not to damage fences, buildings, or other property.
3. Not to litter the area or dump any rubbish.
4. To obey all hunting laws and regulations.
5. This free permit is only valid on the lands of the
   issuing landowner and only for the days specified.