WEST VIRGINIA BOWHUNTERS ASSOCIATION

RECORDS ENTRY APPLICATION

Whitetail Deer

PLEASE PRINT

Hunters Name __________________________________________________________

Address________________________________________________________________

________________________________________________________________

City State Zip

Email _______________________________ Telephone__________________________

Deer Antler Type (check one): ( ) Typical ( ) Non-Typical

Whitetail Deer “Pope&Young” or “Boone&Crockett” Net Score__________________

County where Deer was killed _______________________________________________

Date when Deer was killed _________________________________________________

Are you a current member of the West Virginia Bowhunters Association ( ) yes ( ) no

________________________________________________________________________

For current WVBA members only:

Would you like your photo to be seen in the online Records Database ( ) yes ( ) no

If yes, please include membership verification

For non-members of WVBA:

If you are submitting a Membership Application along with your Entry Form, would you like to have your photo to be seen in the online Records Database ( ) yes ( ) no

I certify that all of the above information is true and correct to the best of my knowledge

___________________________________________ _________________________

Hunter’s Signature Today’s Date

Remember to attach your “Official B&C or P&Y Scoresheet and “Fair Chase Affidavit along with a good Phototo this Application Form!

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