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2. Personal Information:

4. First Name*
5. Last Name*
7. Address*
9. City*
10. Zip Code*
12. Email*
13. Phone Number*

15. Vehicle Information:

17. Vehicle Registration #:*
19. Vehicle Make, Model, and Color:*

21. Hunting Qualifications and Experience:

23. Hunter Education #:*
24. Bow Hunter Education #:*
26. How many years hunting?*
27. How many deer harvested in your lifetime by bow?*

29. Citations and Compliance:

31. Have you ever received a citation from TPWD or from any state wildlife resource officer?*

    1. Yes
    2. No
33. If yes, please explain:

35. Release and Authorization:

    By signing below, I authorize the City of Granite Shoals to conduct a background search to verify the information provided in this application. I understand that this search may include my driving record, hunting history, and any related citations or violations. I hereby release the City of Granite Shoals, its agents, and employees from any liability arising from this investigation.

37. Signature - By entering your name, you acknowledge the accuracy of the information provided.*
38. Date*
    Date

40. To receive a copy of your submission, please fill out your email address below and submit.

42. Email Address
44. Background Check Fee
    GSPD
45. Price
46. Quantity*
47. Shipping Cost
49. Taxable
Leave This Blank:


50. Calculate Totals Proceed to Checkout

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