Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Age
(Required)
Minors are the responsibility of the accompanying adult 18+ Minors between the ages of 15-17 who have a hunter education certificate may attend unaccompanied
Select a Wildlife Management Area
(Required)
Ayer Game Farm, Ayer (June 2 – Oct. 5)
Erwin Wilder WMA, Norton/Taunton (June 2 – Oct. 12)
George L. Darey Housatonic Valley WMA, Lenox (June 2– Oct. 12)
Noquochoke WMA, Dartmouth (June 2 – Oct. 12)
Southampton WMA, Southampton (June 5 – Oct. 5)
Wayne F. MacCallum WMA, Westborough (June 1 – Oct. 12)
Check all that apply.
Did you use a MassWildlife archery range in previous years?
(Required)
Yes
No
What is your primary reason for wanting to practice archery?
(Required)
Have an interest and would like to build skills and confidence
Refresher on skills (have not shot archery recently)
Practicing for hunting
Spending time with friends or family
To pass on this activity to my children/grandchildren
Looking for new outdoor activity
In how many of the last 5 years have you bow hunted?
(Required)
5 years
4 years
3 years
2 years
1 year
I didn't bow hunt at all in the past 5 years
How would you rate your expertise as an archer?
(Required)
Beginner
Intermediate
Advanced
What type of license type (if any) do you currently hold in Massachusetts? [No license is required to participate]
(Required)
Hunting
Freshwater Fishing
Sporting (Hunting & Freshwater Fishing)
Saltwater Fishing
Trapping
None
Check all that apply.
How did you hear about this archery range?
(Required)
MassWildlife email
MassWildlife website
Facebook/Instagram
While attending a MassWildlife event
Word of mouth
Event flier
News media
Saw while visiting WMA
Other
Liability Waiver
(Required)
By checking this box, I attest I have read this release, understand it affects legal rights and responsibilities, and agree to the terms & conditions. I waive any claims arising while participating in the programs of MassWildlife.
If I am injured or suffer any illness or disease while residing at and/or participating at an archery range hosted by MassWildlife, I agree to hold MassWildlife or their agents, employees, volunteers, or the host site harmless for said injury, illness, or disease.
In the event of an emergency, I hereby give permission to a physician to hospitalize, secure proper anesthesia, or to order injection or surgery, or other medical procedures required in an emergency situation.
I give consent for the Massachusetts Division of Fisheries and Wildlife (hereinafter MassWildlife), to provide medical attention, transportation and emergency medical services as warranted by the circumstances.
I am in good physical condition and am not aware of any disease or injury that would be aggravated or result in my being incapacitated or injured during any participation.
I further understand and agree to abide by the general rules of conduct prescribed for the guests of MassWildlife and violations may result in a denial of privileges, and immediate removal from the hosting property.
I, agree that photographs or video taken of me during the event may be used in future materials describing and/or promoting the program or MassWildlife in print, website, or social media.