Hunting Application

Hunting Application

Thank you for submitting your application to hunt at the LEEK Veteran Hunting and Mountain Preserve. We can only accept up to 10 warriors for each hunt. We will review your application and determine if we have slots left for your chosen hunt. You’ll hear from us if a slot is open. And of course, if you don’t get a slot this time, please sign up for another hunt. We’re excited to meet you! Your supporters at LEEK/SAVAW.
Select a Hunt*
Name*

First NameLast Name
Mobile Number*
Birth Date*

MonthDayYear
Gender*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMERGENCY CONTACT*

First NameLast Name
EMERGENCY CONTACT NUMBER*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation/Title/Rank*
Branch of Service*
Status of Service*
Pertinent Diagnosis *
Date and Description of injury*
Mobility*
Have you hunted before *
Will you bring your own clothes. If not please list sizes*
IT IS VITALLY IMPORTANT THAT WE KNOW IF YOU HAVE ANY PHYSICAL PROBLEMS AND/OR ISSUES WE COULD EXPECT TO ENCOUNTER. IN THE SPACE PROVIDED BELOW, PLEASE LIST ANY PHYSICAL PROBLEMS OR DEFICIENCIES THAT YOU MAY HAVE*
I agree to appear in LEEK/SAVAW media.*

Yes
Send us your favorite Military photo

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Please verify that you are human*
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