WYOMING STATE ARCHERY ASSOCIATION



WYOMING STATE ARCHERY ASSOCIATION

BOWHUNTING INFORMATION / AWARDS APPLICATION

As a member in good standing of the Wyoming Archery Association I am stating that I have taken with a bow and arrow the following number of big game animals in the state of Wyoming with the bow and arrow under the rules of fair chase while I have been a resident of the State of Wyoming.

Number of Animals I have taken in the State of Wyoming while a member in good standing of the Wyoming Archery Association under the rules of fair chase with the bow and arrow is:

The number of animals included the following: circle those taken:

Mule Deer Whitetail Deer Elk Moose Antelope Bighorn Sheep

Black Bear Mountain Goat Mountain Lion

OTHERS:

If my number of animals is less than ten, this is a statement of my archery hunting achievements to be kept by the Vice President of Bowhunting of the Wyoming Archery Association for use in determining if I have met the criteria of meeting the ONE TIME bowhunting achievement award of the association’s Bowhunter’s Honor Roll of ten big game animals.

I affirm that my statements of achievement of bowhunting archery are accurate and correct.

NAME:

ADDRESS:

DATE OF STATEMENT:

Return this form to the Vice President of Bowhunting of the Wyoming Archery Association.

Thank You,

Current Vice President of Bowhunting:

Bill Heineke

PO Box 3246

Gillette, WY 82717

Term expires 2005

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