Applications

Post Custom Field
Hunter's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone
Are you a current member of the West Virginia Bowhunters Association?*
- Yes
- No
WVBA member ID*
Date of Kill*
Date Format: MM slash DD slash YYYY
County of Kill*
Score Type*
- Pope & Young
- Boone & Crockett
Net Score*
Score Sheet
Accepted file types: jpg, gif, png, bmp, pdf.
Photo of Bear*
A field photo is preferred, however, a picture of the mount, would be adequate.
Additional Bear Photos
Drop files here or

Accepted file types: jpg, gif, png.
Would you like your photo(s) to be seen in the online Records Database?*
- Yes
- No
Fair Chase Affidavit
Accepted file types: jpg, gif, png, bmp, pdf.
*
I certify that all of the above information is true and correct to the best of my knowledge.
Signature*