Questionnaire

Licensing Questionnaire

Please fill out a separate questionnaire for each person in your party needing a Washington License and return to:

Eagle Lakes Ranch * 903 Eagle Road * Othello, WA 99344 or Fax to (509) 488-4485

Note: If the person on this questionnaire was born after1971, we will need a copy of their Hunters Education Card before we can get their license.

Licensing Requirements:

Name: ____________________________________

Home Address: ________________________________________

City: _______________________ State: ____________ Zip:__________

Date of Birth: ____/______/______

Height: ________________ Weight: _____________

Color of Eyes: __________________ Color of Hair: __________________

Do you need a Federal Duck Stamp? ___________________

Do you need a Washington State Duck Stamp? ___________________

Do you need a Small Game Permit? ___________________

Office Phone: _______________________ Home Phone:_____________________

Drivers License #: ______________________________ State Issued: _________

SSN #: ____________________________________________________

Transportation (if applicable)

Are you flying?_________ Arrival Date & Time: _________________

Departure Date & Time: __________________

If yes, what Airline? __________________

Will you need a Rental Vehicle? __________ Vehicle Preference? __________________

Credit Card # to reserve one for you: ________________________ exp. ___/___

Any Other Special Requests: ____________________________________________________________________________________________________________

If you have any questions please call (509) 488-4484

E – Mail Address: eaglelakes@cbnn.net

Web Address: eaglelakesranch.com

Data Sheet

Cancellation Policy:

A 50% Non-Refundable deposit is due at time of booking. Cancellation of your trip must be made 30 days prior to your arrival. If you do not cancel within 30 days, or no-show, your credit card will be charged 100% of the total of you trip. The only exception is death or family emergency. In this event, we will do everything within our power to re-schedule your trip with mutually acceptable dates.

** Reservations are not confirmed and will not be held without a valid credit card number.

THINGS PERTINENT TO THE HUNT
Normal temperatures for Season:

October – Very Mild 40 to 60 degrees average
November – Moderate 25 to 50 degrees average
December – Cold 10 to 35 degrees average
January – Very Cold Below 0 to 25 degrees average

Clothing – Make sure to bring plenty of warm clothes; long underwear, warm coat, gloves, hip boots, hat (drab colors or camouflage preferred), face netting optional

Guns and Ammo- Be sure to bring a gun and ammo. If you want us to assist you in getting shells, please let us know. Steel shot is required for waterfowl. #1’s or #2’s for Ducks –BBB or T-shot is recommended for Geese.

Rental Car – For those of you flying, you will need a rental car. Our secretary will handle your reservation upon request.

Duck and Goose Plucking – We have a bird processing facility on site, which is included in the package price.

Don’t Forget To Bring With You The Following That Apply To Your Hunt:

Washington State Hunting License

Federal Duck Stamp (signed across face of stamp)

Washington State Duck Stamp (signed across face of stamp)

Small Game Permit

Your Camera!!!

Before your hunt, your guide will ask to see your license that will be needed. Make sure you have it with you.

If you have any questions, please do not hesitate to call (509) 488-4484.