Hunt App SCP 2020
One (1) application per person
Name _________________________________________________________________
Last First Initial
Address _________________________________________________________________
Street
_________________________________________________________________
City State Zip
Phone _____________________________ _____________________________
Home Work
If we can contact you by email – print email address:________________________________
Date of Birth __________________________ DL# _____________________________
Hunter Safety #________________________ (If born after 1/1/72)
First-Time Participant Previous Participant
Youth Hunter, 12-15 yrs old (Y/N) ____ Do you require any special assistance? ______*
Disabled Hunter (Y/N) _____ Do you request special assistance? ________*
Hunters can only hunt at the Scott County Park location. October 1, 2020 – January 10, 2021
Send no money now; fees will be paid by successful applicants only. See Iowa DNR Deer
Regulations for fees and additional information.
*Youth or disabled hunters needing or requesting special assistance will be contacted prior to the
orientation class if selected.
Applications will be accepted until 4:30 p.m. Friday, July 31st at Scott County Conservation
Board, West Lake Park, Gate 3, 14910 – 110
th
Avenue, Davenport, Iowa 52804 and by email at
conservation@scottcountyiowa.com.
