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:_________
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:_________
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