Registration Form
Please print this page and mail a copy of the form to P.O. Box 81591 Fairbanks,
AK. 99708

Name:______________________________________________________________

Address:____________________________________________________________

___________________________________________________________________

Telephone/Fax/email: __________________________________________________

Date of Birth:________ Person to contact in case of emergency:__________________

Do you have any medical conditions that we should be aware of?_________________

Describe your physical condition._____________________________

Describe your hunting skills and experience__________________________________

__________________________________________________________________

What type of animal would you like to hunt?________________________________________

___________________________________________________________________


Alaska Heartland along with a complete registration
form to  P.O. Box 81591 Fairbanks, AK. 99708