(541) 754-3010

Application

2021 - 2022 Season
Dues must be paid by April 1, 2020
Late fee of $100 after April 1, 2020

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone/Mobile

Vehicle Type

Color

Tag #

State

Vehicle Type

Color

Tag #

State

Emergency Contact

Phone/Mobile

What type of game do you hunt? (List all that apply)

What seasons do you hunt? (Check all that apply)

Muzzleloader

Bow

Rifle

To Add Youths/Spouse

Spouse

Hunting

Non-Hunting

First Name

Last Name

Birthday

Age

Youth

Hunting

Non-Hunting

First Name

Last Name

Birthday

Age

Youth

Hunting

Non-Hunting

First Name

Last Name

Birthday

Age

Youth

Hunting

Non-Hunting

First Name

Last Name

Birthday

Age

Section Break

Some description about this section

I agree to provide complete and accurate harvest report within 48 hours after each harvest.

I will not hold Buck Creek Hunting Club, its officers or members responsible for injuries, damage or loss of personal property occurring on the lease.

I will not hold Buck Creek Hunting Club, its officers or members responsible should certain parcels of lease land be terminated or sold.

I will not hold the lessor of the property, its officers or members responsible for injuries, damage or loss of personal property occurring on the lease.

I will not hold the lessor of the property, its officers or members responsible should certain parcels of lease land be terminated or sold.

I agree:

I have completely read this agreement, I understand it thoroughly, I fully agree with its content. I agree to release from liability, Buck Creek Hunting Club and all said landowners, and to assume full responsibility for any injury, death or property damage which I may sustain or cause during my visit to their property.

By typing my full name below, I am signing this agreement.

Members
Officers
Application
Lease

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