Fillable HARVESTERS CERTIFICATE APPLICATION (Métis Nation of Ontario)

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HARVESTERS CERTIFICATE APPLICATION (Métis Nation of Ontario)

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The HARVESTERS CERTIFICATE APPLICATION (Métis Nation of Ontario) form is 2 pages long and contains:

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  • 5 check-boxes
  • 24 other fields

Country of origin: CANADA
File type: PDF

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Suite 1100 – 66 Slater Street, Ottawa, ON K1P 5H1
Tel: 613-798-1006 | Toll-Free: 855-798-1006 | Fax: 613-722-4225
E-mail: info@mnoregistry.ca
Web: metisnation.org
HARVESTER’S CERTIFICATE APPLICATION
MÉTIS NATION OF ONTARIO
CITIZENSHIP NUMBER:
Applicant must be a citizen of the Métis Nation of Ontario (MNO)
PREFERRED ELIGIBLE TRADITIONAL HARVESTING TERRITORY (THT):
For more information on your eligible THT, please call the Registry toll free at 1-855-798-1006, or check online for Ontario Métis Root Ancestor harvesting areas at: http://
www.metisnation.org/registry/citizenship/ontario-métis-root-ancestors/
SELECT ONE:
F New Application
F Renewal
RECENT PHOTO ENCLOSED
Updated photo required every 3 years.
Photos must be clear, with no shadows and
include your name on the back. Hats, head
coverings, sunglasses or tinted glasses must not
be worn. No computer printed photos please.
I AM APPLYING FOR:
F All Harvesting including HUNTING
F Harvesting/FISHING not including HUNTING
Name:
Street Address:
Apartment or Unit #
RR # PO Box:
City / Town: Province: Postal Code:
Phone number:
Mobile Phone number:
Email:
PLEASE INCLUDE A NON-REFUNDABLE $60 ADMINISTRATION FEE
PAYABLE BY CHEQUE OR MONEY ORDER TO THE: “Métis Nation of Ontario”
Once the application is reviewed and approved by the Registrar, the Harvester’s Certicate is valid for three years from the date of issue
Check if you are 65 or older:
Citizens 65 years and older are not required to pay the Administration Fee
Ontario Outdoors Card number (hunting):
Possession and Acquisition License (PAL) number:
Possession Only License (POL) number:
Canadian Firearms Safety Course Certicate NUMBER:
PLEASE PROVIDE A PHOTOCOPY OF ALL CARDS AND CERTIFICATES
IF THE MNO CITIZEN INTENDS TO USE A FIREARM AND/OR A BOW FOR HUNTING PURPOSES THIS SECTION MUST BE COMPLETED
I INTEND TO USE A
FIREARM AND/OR A BOW:
I have demonstrable proof
of sufcient knowledge of
rearms safety (select one
or more of the following):
Last First
MÉTIS NATION OF ONTARIO
Expiry date of current card:
Yes No
Suite 1100 – 66 Slater Street, Ottawa, ON K1P 5H1
Tel: 613-798-1006 | Toll-Free: 855-798-1006 | Fax: 613-722-4225
E-mail: info@mnoregistry.ca
Web: metisnation.org
Chief Captain of the Hunt
Margaret Froh
Suite 1100 - 66 Slater Street
Ottawa, ON K1P 5H1
TEL: 613-798-1488
TOLL FREE: 1-800-263-4889
FAX: 613-722-4225
margaretf@metisnation.org
Deputy Chief Captain of the Hunt
Brian Tucker
426 Victoria Avenue
Fort Frances, ON, P9A 2C3
TEL: 905-301-5203
FAX: 613-722-4225
briant@metisnation.org
Region 1 Captain of the Hunt
Sandy Triskle
4-621 Lakeview Drive
Kenora, ON P9N 3P6
TEL: 807-468-2034
striskle@hotmail.com
Region 2 Captain of the Hunt
Philip McGuire
#600 Highway 11-17
RR 1, Nipigon, ON, P0T 2J0
TEL: 807-887-4205
pmmcguire@live.com
Region 3 Captain of the Hunt
Andy Lefebvre
347 Spruce St. South
Timmins, ON P4N 2N2
TEL: 705-264-3939
TOLL FREE: 1-888-497-3939
FAX: 705-264-5468
andyl@metisnation.org
Region 4 Captain of the Hunt
Steve Gjos
388 Lake George Rd. East
Echo Bay, ON P0S 1C0
TEL: 705-257-9067
whitewolfclan61@gmail.com
Region 5 Captain of the Hunt
Denis Lefebvre
214 Graham Road
Whitesh, ON, P0M 3E0
TEL: 705-691-2832
denis1515@live.ca
Region 6 Captain of the Hunt
Lee Rivet
4235 Holmes Road,
Inverary ON, K0H 1X0
lrjrivet@gmail.com
TEL: 613-331-4566
Region 7 Captain of the Hunt
Greg Garratt
1-22 Peel Street
Penetanguishene, ON L9M 1A6
TEL: (work) 705 812 6339
greggarratt63@gmail.com
Region 8 Captain of the Hunt
Jim Tolles
13576 Torbram Road
Caledon, ON
L7C 2S9
TEL: 905-965-6401
jxtolles@hotmail.com
Region 9 Captain of the Hunt
Peter Rivers
1039 Clover Ave
Windsor, ON N8P 1V8
TEL: 226-783-0598
rivers_peter@hotmail.com
• All harvest applications MUST BE signed (above) by your Captain of the Hunt BEFORE it can be processed by the MNO Registry.
• If you have questions about the status of your Harvest application, please contact the MNO Registry at 1-855-798-1006 or at
info@mnoregistry.ca.
• If you have questions about the MNO Harvesting Policy or would like to be informed of any new developments in regard to
Harvesting, please contact your Captain of the Hunt.
ED
I swear the information provided to the Metis Nation of Ontario (MNO) in relation to my application for a MNO Harvester’s Card is true.
I agree to participate in the Metis harvest in accordance with the Metis Nation of Ontario’s Harvesting Policy. As a result, I will be within
terms of the MNO’s Harvesting Agreement with the Ontario Ministry of Natural Resources (MNR) and the MNR’s Interim Enforcement
Policy will be applied to me (i.e. no charges). Further, I will be fully supported by the MNO should an incident arise within these circum-
stances. I understand that if I am harvesting outside the terms and obligations of the MNO’s Harvester’s Policy or have provided false or
misleading information in my application for Harvester’s Card, I will be outside of the MNO’s Harvesting Agreement with the MNR and if
I am charged, the MNO will be under no obligation to provide support or assistance to me.
Applicant’s Signature: Date: (MM/DD/YYYY)
Reviewed and Certied Complete by Captain of the Hunt for Region: (insert no. of your region)
Captain’of the Hunt’s Signature: Date: (MM/DD/YYYY)
OR
Chief Captain’of the Hunt’s Signature: Date: (MM/DD/YYYY)
PLEASE NOTE: The application cannot be processed by the Registry unless all of the above required information is entered, and the form is signed by
both the applicant and the Captain of the Hunt. Please contact the MNO Registry if you require assistance with this form.
CAPTAINS OF THE HUNT
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HARVESTERS CERTIFICATE APPLICATION (Mtis Nation of Ontario)

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Completed 26 April 2021

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