THIS IS REQUIRED INFORMATION FOR ALL HUNTERS
CAMP NAVAJO HUNTERS IDENTIFICATION FORM
Hunt # AZ Hunt License # AZ Permit-Tag # CN Hunt Permit # (leave blank)
Hunter’s Information
Name: DOB: (mm/dd/yyyy)
(Address) (City) (State) (Zip)
Home Phone: Cell Phone:
Hunting With: 1) 2)
3) 4)
Emergency Contact:
Name: Relation:
Phone Number: Cell Number:
Hunter’s Helper (non-hunter) Information
Name: Cell Number
Vehicle Information
Make: Model:
Year: Color:
Housing Accommodations (Must be Filled Out By All Hunters)
Base Housing: Bldg.# Room Number:
RV Park / Tappen Springs / Indian Village / Off Installation: (circle one)
Trailer ID.# License# Tent ID.# Color/Model
Motel Name: Phone Number: Room Number:
Other Living Arrangements (In Town)
Name: Address: Phone Number:
Kill Data (completed by Security)
Kill Date: Animal Species: (Circle) Male / Female
If antlered, Number of Points greater than 1” (inch) for LEFT antler , RIGHT antler .
Location & Time of Kill: &
Is Animal Checked and Is Tag Secured on Animal (Y / N)
Head, Hide & Legs Required at Check Out (Y / N)
Date of Check Out: Time Out:
SECURITY OFFICER ID NUMBER
ATTACH CN HUNT PERMIT TO FORM UPON COMPLETION OF HUNT
Updated Dec 2008
