Call Us @ 866-SYC-IOWA
  Click Here to Sponsor a Hunt   4785 240th Ave Webb, IA 51366  
Home Page
Contact Us
Calendar
Pictures
Youth   Application
Sponsor Listing
Donor Listing
Sponsorship   Application
Testimonials
Donations
FAQ's

Search Our Site

ChristianBizz.net Member
Youth Hunter Application
We offer a couple of different methods to submit a youth hunter application. We offer an Online Form where you can complete the application and send it straight from your computer. We also offer the application in a PDF (Adobe Acrobat File) format so you have the option to print, complete, and mail the form to us at:

Special Youth Challenge Ministries of Iowa
Attn: Youth Hunter Application
4785 240th Ave
Webb, IA 51366

Please choose your preferred method below...


  Go to our Online Hunter Application

  Application as a PDF File
You will need the Adobe Acrobat Reader to read and print the form. If you don't already have the reader on your computer, you can download it from this location and it's completely FREE! Just click on the icon to the left.






Our Online Youth Application
Date: 
Name: 
Address:
City: 
State/Province:
Zip/Postal Code: 
Country: 
Daytime Phone: 
Home Phone: 
Fax:
Email Address: 
My Date of Birth:
My Age is:
My Height is
(ft. & in.):
My Weight is
(lbs):
My Shirt size is:
My Pants size is:
My Shoe size is:
I Have a Hunter Certification Card...Yes    No
I Have Been Hunting Before...Yes    No
I Have Fired a Gun...Yes    No
If YES, What Type of Gun?
I am...on therapy/treatment
off therapy/treatment
If selected to hunt, I would need the following special equipment: (wheel chair, gun rest, heater, other)
Chaperone
Name/Relationship
I understand that a chaperone/supervisor will be with me during the hunt. If possible, I would like to have accompany me.
Please consider my application for participation in a Special Youth Challenge Event. I understand that this hunt is for ages 13-19 who are physically challenged or who have (or have had) a life threatening injury or illness. I feel that I am eligible because:
By completing the above form, placing my Name in the following blocks and submitting this form I and my consenting parent or legal guardian warrant that the information contained in this application is true.
Applicant  Date 
Parent of Applicant  Date 



Please enter Security Code above into the box below and click submit:




~~ Produced By ~~
Bizz WebSolutions

Copyright © 2008
All Rights Reserved
Special Youth Challenge Ministries of Iowa
Webb, Iowa 51366