(rev 12:15)SP-104 STATE OF IDAHODEPARTMENT OF FISH AND GAMEApplication for License to Release Wildlife In conformance with Idaho Code, Chapter 7, and the powers vested in the Fish and Game Commission, IDAPA 13.01.10, permission is requested to release wildlife into Idaho.
Name and mailing address of owner(s) of wildlife, if not Applicant:
The Gamebird Foundation, Inc1008 Main St, Viola ID, 83872(208) 883-3423
Veterinarian of record for facility or animals: Little Canyon Sporting Reserve
009992________Permit No.The Gamebird Foundation, Inc