Hunt 2026 | Nevada Outdoorsmen in Wheelchairs

Name

First

Last

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone

Date of Birth

Coat Size

Shirt Size

Pant Size (W X L)

Name of person filling out the application:

Relationship to applicant:

Does the appliant have a hunter certification card?

Yes
No

Has the applicant ever been hunting before?

Yes
No

If yes, please identify hunting experience:

Has the applicant ever fired a gun?

Yes
No

If yes, what caliber and brand?

How did you hear about NOW?

Please identify ANY physical and/or mental limitations, as well as other medical concerns that might be a factor in this NOW hunt:

Is the applicant on any current therapy or treatment?

Yes
No

If yes, please explain:

Please give us a brief history of what brought the applicant to be confined to a wheelchair:

If this applicant is selected to be a recipient of a NOW hunt, please list any special equipment (gun rest, adaptive equipment etc.) that may be necessary:

Has the applicant ever applied for a NOW hunt previously?

Yes
No

2026 Hunt

Address/Mailing

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