Old Texas Shoot out, New hunt and Name!

THE JAVELINA HUNT 2021
Chaparrosa Ranch – LaPryor, TX
Feb 17
th
to Feb 21
st
2021
Name:________________________________________________________________________
Address:_______________________________________________________________________
City:_____________________________________ State:__________ Zip:__________________
Telephone #_______________________________
*Email address:_________________________________________________________________
*Receipt’s will be emailed.
Texas Hunting License #__________________________________________________________
Vehicle Make, Model, Color and Plate#______________________________________________
Please mark which applies to the person on this form:
_____Adult Hunter $300 _____Adult Non-hunter $100
_____Youth Hunter (15 and under) $100 _____Youth Non-hunter FREE
_____Adult Non-Hunter unaccompanied $500
Please complete one form for each person attending.
Cashier’s check or money order only. Make payable to Chaparrosa Ranch
Complete and mail form to: David Smith
1521 Clearview Lp
Round Rock, TX 78664
All persons attending The Javelina Hunt are responsible for obtaining and following all Ranch rules. Any
violation of Ranch rules or state law can result in removal from the ranch and possible civil or criminal action.
All persons attending The Javelina Hunt will sign a Ranch Release of Liability form upon entering the Ranch.
Further, completion of this form and entry onto the Ranch is implied and explicit waiver of any claims of liability
or other civil action against The Javelina Hunt Leaders or staff.

Signature:_____________________________________________________________________________________

*(Parent) or (Guardian) Signature required for all Minors:______________________________________________
*Please circle which applies and age of minor here:_________

For those that do not know what the texas shoot out was, this was a bowhunt.