Daviess County Fish and Game Association
PO Box 1565
Owensboro, KY 42302
270-925-8343 or 270-302-9467
www.daviesscountyfishandgame.com
APPLICATION FOR MEMBERSHIP
Date_________ Fee Paid $______________ $ ______________
MEMBERSHIP INITIATION
APPLICANT___________________________________________________________________________
AGE________ PHONE______________________CELL ______________________WORK_____________
ADDRESS_____________________________________________________________________________
NO. STREET/PO BOX CITY STATE ZIP
OCCUPATION__________________________________________________________________________
SPOUSE OR FIANCE` NAME_______________________________________________________________
OTHER MEMBERS OF HOUSEHOLD:
- _________________________________________________________________AGE_________
- _________________________________________________________________AGE_________
- _________________________________________________________________AGE_________
- _________________________________________________________________AGE_________
I, OR MEMBERS OF MY FAMILY PLAN TO USE THE FOLLOWING FACILITIES:
CAMPING_______ TENT_____TRAILER_______PICKUP CAMPER______ RV________SWIMMING________
PICNIC_______FISHING______ARCHERY________TRAP___________RIFLE RANGE_________
I HAVE READ THE RULES FOR GOVERNING CONDUCT BY ME, MEMBERS OF MY FAMILY, GUEST OF MY FAMILY WHILE ON THE FARM AND WILL BE RESPONSIBLE FOR THEIR ACTIONS.
MY HUNTING/FISHING LICENSE NUMBER IS _____________________________________________________
APPLICATION WILL BE REJECTED WITHOUT A VALID AND CURRENT LICENSE #
SPONSORED BY__________________________ SIGNED ___________________________________________
CLUB MEMBER APPLICANT
For club use:
Please let us know why you would like to become a member at Daviess County Fish and Game? Will you be willing to volunteer to help on the farm and or events?
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