Moose Harvest - Six Seasons

Moose Harvest - Six Seasons

Dates: September 17th - October 20th, 2026 | Cochrane/Timmins
Moose Hunting Registration for Omushkego Youth Ages 12 - 18 in Cochrane/Timmins

Day/evening trips and weather permitting weekend camping. Transportation limits the number of available spots.
Youth Name:

First NameLast Name
Date of Birth:
Address:

Street Address

CityState / Province

Postal/Zip Code
Which Mushkegowuk Community are you from?
Status Card Number:
Does your child have any Allergies or Medical Conditions/Limitations? If yes, please list below
Health Card Number:
Are you interested in Day Trips, Evening Trips, or Weekend Camping?
Parent/Guardian Name:

First NameLast Name
Parent/Guardian Contact Information:

CellEmail
Emergency Contact (Other than Parent/Guardian)

NameRelationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I (parent name) understand and acknowledge that during participation in this
Mushkegowuk Council program, I may be exposed to situations and environmental
conditions where the stresses and hazards may be greater or different than
those I normally encounter. I further understand and acknowledge, that although
Mushkegowuk Council has taken precautions to provide proper organization, supervision, instruction and equipment for each program, circumstances may arise which are not foreseeable, or which are beyond the control of Mushkegowuk Council. I acknowledge that Mushkegowuk Council cannot guarantee absolute safety. I also understand that I am responsible for my own safety and must comply with any instructions and directions of Mushkegowuk Council and its instructor(s) or facilitator(s) during the program.

I fully comprehend and willingly assume the responsibilities and risks, including, but not limited to, any risks, which are not disclosed or not foreseeable as part of participation in this program, whether outlined in the orientation information or explained to me by the instructor(s) or facilitator(s).

I also verify that I do not have any physical or psychological conditions that would impair my ability to participate in the program or would create undue risk to others who may depend upon my physical and mental performance during the program.

I HAVE READ THIS FORM AND UNDERSTAND AND ACKNOWLEDGE THAT IT IS A CONDITION PRECEDENT TO MY ACCEPTANCE IN THE PROGRAM THAT I AGREE TO THE ABOVE STATED TERMS OF THIS FORM.

Name of participant: name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature of parent:
Should be Empty:

Moose Harvest - Six Seasons

Moose Hunting Registration for Omushkego Youth Ages 12 - 18 in Cochrane/Timmins