WHITE MOUNTAIN APACHE TRIBE

WILDLIFE & OUTDOOR RECREATION DIVISION

2010 Fall Bull Elk Hunt Questionnaire & 2011 Draw Hunt Application

Questionnaire must be completed before application and fee are accepted


 1.             Did you purchase a Fall Bull Elk tag in 2010?       Yes (     ) No (     )

2.             Did you hunt?                                         Yes (     )                 No (     )

3.             Were you successful?                             Yes (     )                 No (     )

4.             If yes, in which ZONE was your kill made?     ZONE 1  _       ZONE 2    _     ZONE 3A          ZONE 3B         

5.             How many points did the bull have on the right and left sides?        Right                            Left                        

6.             How many days did you hunt?                             

7.             Were you unable to retrieve any elk that you shot?               Yes (     )                 No (     

8.             Name (please print):                                                                                                                                              

9.            Comments:_________________________________________________________________________________

2011 FALL BULL ELK

(Please print CLEARLY)

“Enrolled Tribal Members Only” 

ARE YOU OVER 55 YEARS OLD?                    Yes (     ) No (     ) 

HAVE YOU COMPLETED A HUNTER EDUCATION COURSE? Yes (     )    No (     )

NAME:                                                  __________SOCIAL SECURITY NO:________/________/________ 

P.O. BOX:                               CITY:                                                      STATE: ________ZIP:                                   

PHYSICAL ADDRESS:_______________________________________PHONE#:(______)___________

DATE OF BIRTH:                                        SIGNATURE:                                                                      __________

1st Choice:       ZONE 1 (     )       ZONE 2 (      )      Zone 3B (      )

2nd Choice:       ZONE 1 (     )       ZONE 2 (      )      Zone 3B (      )

FOR OFFICE USE ONLY

RECEIVED BY:                                                                                     DATE: