Provincial Hunting Day

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Personal information on this form is collected under section 11(1) of the Prince Edward Island Wildlife Conservation Act and will be used for the purpose of validating eligibility, user surveys and summary statistics. If you have any questions about this collection of personal information, you may contact the Manager of Forests, Fish and Wildlife at 902-368-4683.

Identification

You must be 11 years of age or older at the time of registration to participate.

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Date of Birth

Do you have a PEI Wildlife Card?

PEI Wildlife Card Number

Acceptance

I declare that the information provided in this application form is true and correct

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