Hunter Application / Referral Program

Would you like your hunting dreams to come true? It can happen with Colorado Dream Hunts. If you are between the ages of 12 and 21 and have a serious illness or disability please apply for your dream hunt.

Hunter Application / Referral

Hunter Information

Legal Name

First Last

Nickname

Birthday

Age

Mobility Aid Needed/Used and type

Email

Facebook/Instagram/Twitter

Medical Diagnosis

Right or Left Handed?

Parent / Guardian Information

Father's Name

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother's Name

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are both guardians aware of Hunter's medical condition?

Physician / Diagnosis Information

Physician Name

Phone

Emergency Phone

Email

Fax

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Treatment Facility/Hospital

Medical Diagnosis

Special Needs / Accomodations

Dream Hunt Request

What is your Colorado Hunting Dream?

Has applicant hunted before?

Does applicant have their hunter safety card?

Date of Hunter Safety Course

Please upload Hunter Safety Course Information

Max. file size: 50 MB.

Please explain previous hunting experience

I certify the information above is true and accurate

Father

Mother

Hunter

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If you would like to print the application and fill out by hand, please click the link below, complete the form and return it to:

Colorado Dream Hunts

609 South Taylor Ave, Suite A

Louisville CO 80027

Click Here for Application

Basic Qualifications Include:

Male or Female between the ages of 12 and 21 years old at the time of hunt
Hunter Safety program qualified
Colorado Residency

Current or past medical condition that is considered to be life-threatening

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