Tri-County Deer Management Association
Membership Application -- Page 1
(Print off-line, fill in your information, and send to the address at
bottom of Page 4)
Name: ________________________________________________________
Address: ______________________________________________________
__________________________________________________________
County: _________________________
Home Telephone: ___________________________
Work Telephone: ___________________________
Date of Birth: _______________________________
Vehicle Information:
Make _________________ Model ________________
Year __________________ Color _________________
License Plate Number ____________________________
Have you ever been cited, arrested, or received a summons for any game law violation?
_______ NO
_______ YES – Fully Explain
Tri-County Deer Management Association
Membership Application -- Page 2
List the states in which you have bowhunted:
List all hunting, shooting, and conservation organizations in which you have had memberships. List all offices you have held in these organizations:
Organization Member Since Office Held
Have you completed the International Bowhunter Education Program?
___________ NO
___________ YES When and Where? ________________________
Instructor’s Name ________________________
List four character references (other than family):
Name Address Home and Work Phones
1.
2.
3.
4.
Tri-County Deer Management Association
Membership Application -- Page 3
Use the space below to explain your philosophy about bowhunting, conservation, and anything else about yourself that you want us to know. Use continuation sheets, if necessary:
Tri-County Deer Management Association
Membership Application -- Page 4
Include the following items in this application:
_______ Photocopy of your most recent hunting license
_______ Photocopy of your state hunter safety card
_______ Photocopy of your IBEP card
_______ Photocopy of your driver’s license
_______ Photocopy of your vehicle registration
_______ Proof of harvest of five big game animals with a bow and arrow
(Photos, copies of photos, or signed affidavit are acceptable)
I have fully and truthfully answered all questions on this application. If accepted as a member of the Tri-County Deer Management Association, I agree to abide by all TCDMA rules and landowner restrictions. Violation of TCDMA rules or hunting laws may result in immediate termination of my membership without right to appeal.
__________________________________ Signature
__________________________________ Date
Send completed
application to: Tri-County Deer
Management Association