2025 Hunt Application

2025 Hunt Application

Apply for and receive all your disabled licenses for which you are eligible through Wyoming Game & Fish (Disabled Hunter, Shoot-from-Vehicle, and/or Season-Extension) BEFORE you complete this application! (Refer to our website to understand Wyo G&F disabled license qualification criteria and download Wyo G&F applications. You complete them and submit to Wyo G&F in Cheyenne, WY. Their address is at the bottom of each form.) [Note: these disabled licenses are separate from game tags/permits; if you are drawn, WDH will provide further direction on pursuing your game tag.] Do not attempt to circumvent required appl. data fields below through incomplete or erroneous input; if you do, your appl. will be rejected w/o notice! Always refer to instruction comments that appear automatically by hovering w/ mouse near question's input box right-side. All applications must be received by 5:00 PM MST on January 25th, 2025 for all species (antelope, deer and/or elk) - no exceptions!
Full Name As it Appears on ID*

PrefixFirst NameMiddle NameLast NameGender (M/F)
Street Address
Street Address Line 2
City
State
Only input as 2-letter abbreviation
Zip Code
Mailing Address

Street Address

Street Address Line 2

CityState (2-letter abbreviation)

Zip Code
Email*
example@example.com (If you don't have an email, insert a family or friend's email for communication as WDH prefers email communications as the most efficient option for multiple hunters.)
Home Phone Number

Area CodePhone # (Input as ***-**** with hyphen)
Cell Phone Number*

Area CodePhone # (Input as ***-**** with hyphen)
Share your email address and phone number with other drawn WDH hunters?*
Note: Above contact info is only shared with other WDH hunters drawn and hunting at same time.

How did you hear about Wyoming Disabled Hunters? (You must complete both columns and multiple lines where applicable.)*

	Select One	Source Name
Magazine/Publication
Newspaper Article
Friend
WDH Flyer
Website Search
Past WDH Hunter
Other

Hooded Sweatshirt size*
Height*
Input as * ft, ** in
Weight*
Input in lbs.
Hair Color*
Eye Color*
DOB*
(Input as MM/DD/YYYY) [Example: June 1st, 1980 date should be input as 06/01/1980)
Last 4 digits of Social Security #*
Are you a wheelchair user?*
If so, what is your wheelchair width at its widest point?
(CRITICAL-Input as **.* inches. Take time to measure; be precise as some lodging doorways are somewhat narrow so it helps with our planning lodging logistics.)
Provide a description of wheelchair or other mobility device(s)
Wyoming Disabled Hunter License #*
Old license # is 4-digit #. Newer license # is an 11-digit #, beginning with last two #'s of year license obtained followed by 11 and then seven more digits (e.g. a 2019 license begins w/ 1911). Do not use your SPID # or Transaction ID # from your license.
Wyoming Shoot-From-Vehicle License #
Old license # is 4-digit #. Newer license # is an 11-digit #, beginning with last two #'s of year license obtained followed by 11 and then seven more digits (e.g. a 2019 license begins w/ 1911). Do not use your SPID # or Transaction ID # from your license. Effective 1/1/23, this license is automatically included with your disabled hunter license so input that number here.
Wyoming Season-Extension License #
Old license # is 4-digit #. Newer license # is an 11-digit #, beginning with last two #'s of year license obtained followed by 11 and then seven more digits (e.g. a 2019 license begins w/ 1911). Do not use your SPID # or Transaction ID # from your license. If you are a veteran with a service-connected disability rating of 100%, you qualify for this license and must apply/receive this license before submitting your application.
PLEASE ATTACHED COPIES OF ALL YOUR WYOMING G&F PERMITS (disabled hunter, shoot-from-vehicle (if it's a separate license) and/or season-extension). YOU MUST ALSO ATTACH A PICTURE OF YOURSELF. DO NOT ATTEMPT to scan copies of anything other than your disabled permits and self-picture OR your application will be rejected without notice.*

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Explain nature of any/all your disabilities and INCLUDE DATE(S) OF YOUR DISABILITIES. Be specific so WDH can clearly understand the full range of your disabilities (e.g. para vs. quad, shooting limitations, medical issues hampering hunting abilities, etc.) & any life-threatening issues, given WDH's possible hunting exposures. Wheelchair users should specify ability to transfer themselves to/from bed or vehicle, and other possible limitations when it comes to hunting or lodging. Include whether you can hunt from a vehicle, from which vehicle side you prefer to shoot, need for tripod-type rest, need for accessories in order to shoot, etc,. (The more information we receive, the better we can match each hunter w/ area, type of hunt and accommodations if drawn.)*
Please write a paragraph explaining all the ways your disability affects your daily life, your ability to actually get out to hunt (e.g. own a TrakChair or the like, limit on land you can hunt, approx. # times/year you hunt) plus the opportunity to participate in any/all outdoor or hunting adventures you would like. *
Do you have a limb prosthetic?*
If you have a prosthetic(s), please provide a description below.
Are you requesting financial assistance?*
If answer is "Yes," a separate financial assistance application that appears below this "Hunting Application" MUST be completed. Complete this application first, then you must complete the "Financial Assistance" application if you are seeking financial assistance. A "Yes" answer to this question does not fulfill the FA requirement; one must still complete the separate financial assistance application to seek and possibly financial assistance!
Do you have PTSD?*
If PTSD answer is "Yes," please attach WORD, PDF or scanned document description of your current PTSD treatment plan/status.

Description may include plan as prescribed or outlined by a doctor, nurse practitioner, PA or counselor, or general long-term maintenance plan. Include frequency of counselor visitations and medications to better describe PTSD severity. Provide as much detail as possible!
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Have you attached a description of your current PTSD treatment plan/status?
Are you a service-connected veteran?*
VA Disability rating and discharge date
Input rating as *** (leave off %). Also input discharge date as MM/DD/YYYY.
Attach proof of VA rating (VA letter date should be within the last year).

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Have you attached proof of your VA rating?
Is a single caregiver coming with you?*
This person MUST BE a caregiver and not just a friend or family member wanting to take in your hunt adventure. WDH has limited resources to accommodate extra people but any necessary caregiver is welcome! Only one is allowed unless there are special circumstances. If so, include in the "special needs" comments box near the end before signing/dating your application.
Caregiver's Name, relationship and cell phone number.

First NameMiddle NameLast NameRelationshipCell # (***-***-**** using hyphens)
Have you completed a hunter's safety course?*
Hunter education course required for all hunters born after 01/01/1966.
Are you interested in just one, two or all three species?*
List ONLY those species in which you have an interest in hunting. Do not include a species for which you might be drawn and would then turn down the hunt if drawn.
First choice species*
List ONLY those species in which you have an interest in hunting. Do not include a species for which you might be drawn and would then turn down the hunt.
Second choice species
List ONLY those species in which you have an interest in hunting. Do not include a species for which you might be drawn and would then turn down the hunt.
Third choice species
List ONLY those species in which you have an interest in hunting. Do not include a species for which you might be drawn and would then turn down the hunt.
Are you flying or driving?*
FYI: Hunts are conducted almost exclusively out of Cody, WY, which does have its own airport. Second option is Billings, MT approx. 110 miles away.
Have you previously hunted with WDH?*
Did you harvest?
If yes, what species?
What year(s)?
Have you participated in any other sponsored disabled or veteran organization big-game hunts? (antelope, bear, bighorn sheep, buffalo, deer, elk, goat, hog, moose, other)*
Please accurately list ALL sponsored hunts; WDH will attempt to verify past org-sponsored hunts so you must list all your hunts, starting with the most recent as #1, then #2, and so on.

For disabled-hunter-sponsored hunts, please list every sponsoring organization, year(s), species and whether you harvested.

	Sponsoring Organization	Year	Species	Harvest?
#1
#2
#3
#4
#5
#6

For non-sponsored hunts (e.g. hunts on own or friend's property), please list property type, year(s), species and whether you harvested.*

	Property Type	Year	Species	Harvest?
#1
#2
#3
#4
#5
#6

Emergency Contact (list only a contact not coming with you on hunt)*

First NameLast Name
Relationship of Emergency Contact*
Emergency Contact's Best Phone Number*

Area CodePhone # (Input as ***-**** with hyphen)
Shooting Proficiency Witness (attesting to applicant's ability to use/shoot a firearm and harvest big-game animals). Shooting proficiency based upon a 0-5 scale (0=no experience; 1 being below-average/infrequent shooter while 5 is an expert). Please input two #'s: first # for archery, second # for rifle.*

First and Last Name, Ph. #Shooting Proficiency: Input Bow/x-Bow first, then Rifle
Which weapon do you prefer to use?*
All elk and antelope hunts are rifle-only while deer are mixed archery and rifle spots (landowner specified). Selecting "Either" offers WDH more flexibility for hunter placements.
Bow model & draw weight
Rifle model & caliber
Any special accommodations needed?*
Describe any special circumstances and needs (room setup, showering, hoyer-lift, etc.)
Dietary restrictions for you or your caregiver?*
Examples: gluten-free, no milk products, food allergies, etc.
Any other special needs or comments?*
Comments

1. Your able-bodied accompanying caregiver MUST be knowledgeable & tend to 100% of your medical care needs. This responsibility is upon you and your caregiver and not any WDH volunteer(s) or companion hunter(s). 2. All applications must be received by 5:00 PM MST on January 25th, 2025 for all species (antelope, deer, elk) - no exceptions. 3. You need to submit only one application if interested in applying for one, two or all three species (can only hunt one species in a single year.) 4. WDH reserves the right to request additional medical information as needed at our discretion. You must make your WDH coordinator aware of any medical issue(s) for you and your accompanying caregiver leading up to the hunt. Failure to do so may result in cancellation of your hunt. 5. WDH reserves the right to match hunters with area, species, accommodations and their disability to ensure safety and overall well-being of hunter and their caregiver, WDH companion hunter(s) and other WDH accompanying resources. 6. Each drawn hunter will be required to complete a testimonial after their WDH hunting experience. 7. Do not attempt to circumvent required appl. data fields through incomplete or erroneous input; if you do, your appl. will be rejected w/o notice!
Applicant Signature - Certifying the accuracy of all the information provided on this application.*
Date*
Input as MM/DD/YYYY
Submit

Questions can be directed to: Terry Skinner, President at (307)250-3771 tkskinner25@outlook.com OR Bryce Fauskee, Vice-President at (307)250-9805 bryce.fauskee@wysil.org
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2025 Hunt Application

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