(* - denotes required information)

First Name*
Last Name*
Street Address*
Mailing Address
City*
State*
Zip*
Email Address*
Home Phone*
Work Phone*
Hunt Status*	BuckDaze Hunter $550 BuckDaze Youth $275 BuckDaze Sponsor $750 BuckDaze Benefactor $1250
Method of Payment*	Phone In Credit Card Payment Mail in Payment
Are you bringing a non-paying hunter age 12 or under?*	Yes No
If so, please provide his/her name
If so, please provide age
Your hunting experience*	First Time Hunter Novice Hunter Experienced Hunter
Type of Hunt Desired*	Archery Firearms Trophy Buck Doe Mixed Bag
Hunts near lodging are more convenient. Where will you be staying?*
What group of hunters should be together? Please provide Names:
I do hereby save harmless and indemnify the Parent-Teacher Organization of Southwest Georgia Academy, the participating landowners, hunting clubs and cooperators from any legal action resulting from any damage, injuries, or death resulting from participating in the SGA's Buck Daze Hunt and events. As indicated above I shall make payment in full for Buck Daze. I agree to act in a sportsmanlike manner as a guest of the PTO of SGA and its participating hosts. It is understood that SGA does not discriminate on the basis of race, color, or national or ethnic origin in the administration of its educational policies, admission policies, or its athletic and other school administered programs. The submission of this online application is my notice that I have read and understand this application and that I agree to all the provisions within it.
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