Hunter Education Registration Form

Hunter Education Registration Information
Minors Please Note! Current youth protection practices require all electronic contact be with a parent, guardian, or other adult. If your "home phone" number is your personal cell phone, then you must include the contact information for a parent, guardian, or suitable adult. This includes the email address & contact phone number. We want to avoid any electronic contact with students under the age of 18.
Select a Class Date*
Changing Classes? STOP! Current, or previously enrolled, students, please email us (HE@PapaBearEnt.org) your changes.
Student Information Section
The following information is about the student that is being registered. (Parent/Contact information is in another section.)
Student Name*
First NameMiddle Name/InitialLast NameSuffix
Student's Common Name
Birth Date*
YearMonthDay
Date
Gender*
E-mail Address*
Minor students should use a parent's email address.
Home Phone Number*
Area CodePhone Number
Hunter Education Registration Certificate (HERC) Information Section
All of the data in this section will come from the $10 Utah Hunter Education Registration Certificate (HERC). (Not the online course Completion Certificate, Field Day Qualifier Certificate, or Field Day Voucher.)
Where to find the data that we need.
Customer ID*
Registration Number (Reg#)*
This is a 7 digit number beginning with 714, 715, or 716
License Number*
This is usually a 9 digit number
Issue Date*
YearMonthDay
Date
Contact Information Section
This data in this section is only required when registering minors, or when registering for someone else.
Parent/Contact Name
First NameLast Name
Contact Phone Number
Area CodePhone Number
Comments/Questions/Notes
Should be Empty:

Hunter Education Registration Information

Student Information Section

Hunter Education Registration Certificate (HERC) Information Section

Contact Information Section