NEW YORK POWER AUTHORITY 2010 ARCHERY PERMIT APPLICATION ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Mailing Address ________________________________________________________________________
ATTACH A PHOTOCOPY OF YOUR PROFICIENCY CERTIFICATION You must have satisfactorily completed the shooting proficiency portion of the Bow hunter Training program as well as provide all of the above information to qualify for a permit. Incomplete or illegible applications will be discarded without notification of the applicant. Falsification of any part of this application or of the information required will be cause for automatic revocation of your permit. Revocation of a permit will place your name on an ineligible list and future applications will be denied. The New York Power Authority recognizes that with any sport or recreational activity there is a risk of personal injury or death through accidents, careless acts of the individual and acts of others. Your signature on this application is an acknowledgment of your complete understanding of all the risks involved with hunting. You agree to accept those risks and hold harmless the New York Power Authority for any accident, injury or death sustained while you are on Power Authority property. Signature_____________________________________Date_________________ On or before September 25th, mail completed application and copy of proficiency certification to: New York Power Authority, 2010 Archery Hunt
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