Hunting Application
Thank you for submitting your application to hunt at the LEEK Veteran Hunting and Mountain Preserve. We can only accept up to 10 warriors for each hunt. We will review your application and determine if we have slots left for your chosen hunt. You’ll hear from us if a slot is open. And of course, if you don’t get a slot this time, please sign up for another hunt. We’re excited to meet you! Your supporters at LEEK/SAVAW.
Select a Hunt
*
Please Select
Spring Gobbler - May 19 to 24
Pheasant Hunt - September 19 to 22 & 24
Muzzleloader/Deer/Pheasant/Bear Oct 23 to 27
Pheasant / Bear - November 22 to 26
Deer Rifle Season - December 11 to 15 & 25
Name
*
First Name
Last Name
Mobile Number
*
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
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10
11
12
13
14
15
16
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18
19
20
21
22
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24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMERGENCY CONTACT
*
First Name
Last Name
Mobile Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation/Title/Rank
*
Branch of Service
*
Please Select
Marines
Army
Navy
Air Force
Coast Guard
Other
Status of Service
*
Please Select
Active
Retired
Medically Retire
Pertinent Diagnosis
*
Please Select
AMPUTEE
VISUALLY IMPAIRED
PTSD
SCI
SFW/GSW
TBI
MOBILITY IMPAIRED
Other
Date and Description of injury
*
Mobility
*
Please Select
I CAN WALK LONG DISTANCES WITHOUT ASSISTANCE, AND CLIMB TREE STANDS
I NEED ASSISTANCE FOR LONG DISTANCES AND HELP CLIMBING TREE STANDS
I NEED USE OF LEEK’S ACTION TRACK CHAIR (BATTERY-OPERATED ALL TERRAIN WHEELCHAIR)
Have you hunted before
*
Please Select
Yes
No
Will you bring your own clothes. If not please list sizes
*
IT IS VITALLY IMPORTANT THAT WE KNOW IF YOU HAVE ANY PHYSICAL PROBLEMS AND/OR ISSUES WE COULD EXPECT TO ENCOUNTER. IN THE SPACE PROVIDED BELOW, PLEASE LIST ANY PHYSICAL PROBLEMS OR DEFICIENCIES THAT YOU MAY HAVE
*
I agree to appear in LEEK/SAVAW media.
*
Yes
Send us your favorite Military photo
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