Nominate a Child for an Adventure

If you know of a child who is suffering from a life threatening illness who would enjoy participating in our hunting and fishing programs please fill out the form below.

Child's Name

First Name

Last Name

Parent or Guardian

First Name

Last Name

Relationship to the Child

Child's Story

Child's Interests

Hunting

Fishing

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

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