Name(Required)
Address(Required)

If you have a regular hunting/sporting license you must also submit a doctor’s note indicating that you are a paraplegic hunter if you have not already submitted one during a prior year.

Will you be including a doctor's note?(Required)
Drop files here or
Max. file size: 20 MB, Max. files: 1.
    What implement do you intend to hunt with?(Required)
    Valid LTC/FID Expiration Date(Required)
    I certify, under the pains and penalty of perjury, that I am legally declared a paraplegic as defined by Massachusetts' Law.(Required)
    Please indicate which location you would like to hunt.(Required)
    *Note: Norcross Tupper Hill Wildlife Sanctuary can accommodate a maximum of 5 hunters. Selection will be based on the order of applications received.
    Please indicate the dates you intend to hunt.(Required)
    Pick all that apply.
    Will a friend or family member be attending the hunt with you?(Required)
    Helper's Name(Required)
    Helper's mailing address(Required)

    Sites may present limited accessibility for some types of vehicles.  Answers to these last few questions will help to coordinate the placement of participating hunters at feasible locations.

    MassWildlife has one Trackchair ST 20 available for use during the hunt. More information will be provided to those who are interested.
    Does the vehicle you will be attending the hunt in have 4-wheel drive?(Required)
    Does the vehicle you will be attending the hunt in have low clearance?(Required)
    Handicapped accessible minivan, for example
    Do you prefer or intend to hunt from your vehicle?(Required)