Report Date :
Name : Age: Sex: Years Bowhunting Experience:
Species: Sex: Wt. (Field dressed)
If antlered, number of points : Left Right First Kill of Species Yes No
Harvest Date : Weather: Clear Cloudy Rain Snow Other:
Time of Kill: AM PM  Temp: Guided: Yes No
State: Unit: Other Location:

Hunting Method: Stalk  Still  Tree Stand  Ground Blind  Calling  Bait  Dogs
Bow:   Draw Wt.:   Sights: Yes No Release: Yes No
Arrow Type : AL WD CA   Size/Length:   Broadhead/wt:
Number of arrows shot at this species during this season:
Number of days hunting for this species during this season:
Number of animals of this species seen during this season:
Number of members in hunting party when animal was harvested:

I declare that the above trophy, harvested by Bow and Arrow exclusively, was taken legally and ethically. Signature: ________________________________