Carl
Johnson
Ackerman,
MS 39735
(662)
285-6601 Office (662) 285-6713 Home
http//:cedarhillhunter.tripod.com
(Please fill out
one form per guest and send to above address)
NAME ________________________________________________
PHONE_______________________
STREET __________________________________CITY &
STATE_____________________________
ZIP CODE ____________________
OCCUPATION_________________________________________
SEX ________ AGE________ DATE OF BIRTH _____________ TOTAL HUNT PRICE $____________
HUNTING DATES ___________________________ HUNT TYPE (Circle): Bow
Rifle Muzzleloader
HUNT PACKAGE (Circle): 3 Day-Guided 5 Day-Guided
3 Day-No guide
5 Day-No guide
Other
_______________________________________________
(Deposits
are Required with Application)
Are you in good
physical condition? ____________________ Have you ever had heart trouble?
_______________
Are you allergic
to certain foods, drink, etc.? ____________________ If so, please
state______________________
____________________________________________________________________________________________
Do you have
walking or hiking difficulties in rough terrain?
___________________________________________
Have you
previously hunted big game? _________ If yes, where & what
species___________________________
___________________________________________________________________________________________
Do you require
any special medication? ________ If so, please state:
___________________________________
This information will enable us to further personalize your hunt
with your enjoyment and well-being in mind.
Terms:
All fees are in U.S. funds. A 50% deposit is required
with your reservation and the balance of the fee is due the day of your arrival
at the Lodge. Our policy for deposits is that all monies paid are nonrefundable
and are considered as partial payment for the services of reserving time and
space on the schedule and advance preparation of equipment and supplies.
Personal or company checks are acceptable for deposits and payment of the
balance of fees. Lodge check-in time is 4PM day prior to hunt start and
check-out time is 1PM last day of hunt (Times may be negotiated with Carl
Johnson). Non-hunting guests are welcome, but a $75 per day fee is required for
lodging and meals.
Assumption
of Risks by Participant:
The
activities that will be undertaken as a direct or indirect result of this
reservation are commonly known to have various risks inherent to them. By making
this reservation, I agree that I knowingly and willingly accept those risks that
are inherent in this activity or any associated activity. I will not hold, nor
attempt to hold, Cedar Hill Outfitters or any of its agents or associates,
responsible for loss, injury, or damages, as a direct or indirect result of my
participation in those activities.
I have read, fully understand, and agree to the above
terms, conditions, and assumption of risks as a condition of this reservation
form.
Signed ________________________________________________________ Date__________
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