Illinois Ohio Valley Trophy Hunts, LLC R.R. #1 Box 121B, Simpson, IL 62985 618-559-2967 lodge phone - 618-672-5066 www.trophydeerhunt.com Full Name:_______________________________________________________________________________________________________________________________ Address:_________________________________________________________________________________________________________________________________ Phone : Cell __________________________________ Home: ___________________________________ E-Mail - _________________________________________________________________________________ DOB ___________________________________________ Height ______________________________ Weight ____________________________________ Any Medical Problems?_____________________________________ Hunt Booked DATES _______________________________________________________________________________ TOTAL COST _____________________________ Deposit you Put Down___________________________ Remainder Due 1 Month prior to arrival: ______________ Number of hunters hunting with you - Names ____________________________________________________________________________________________________ Largest animal I have taken with Bow___________________________________________________________ GUN ___________________________________________ Please arrive between 2 and 3pm the day before your hunt - for GPS units type in OLD HOME ROAD EDDYVILLE, IL 62928 this will get you to the lodge. Please remember you must call the IL DNR 217-782-7305 and or go online to get your permits with the Illinois Department of Natural Resources. THIS IS NOT A GUARANTEED HUNT - YOU WAIVE ILOVTH OF ANY LIABLILITY FROM ANY ACCIDENT OR LOST OR STOLEN PROPERTY I ______________________________________________, date ___________________fully intend to book a hunt with Illinois Ohio Valley Trophy Hunts, llc. In doing so, I am willing to provide the personal information and deposit needed to reserve the dates of my hunt. I am also aware of the cancellation policy of ILOVTH - Deposits will not be refunded in case of cancellation. Although deposits may be transferred to another hunt if made within sixty days of original reserved hunt. I do understand there is a management fee of $750.00 if I shoot a buck scoring below 130"s. I also understand that I must provide my own drinks and lunch items while in camp. At times I will also be asked to drive to a farm we are hunting in case guides have a single cab vehicle. I do understand that I have to wear a safety belt that I will provide for myself at all times while hunting with ILOVTH. Lastly, I absolve Illinois Ohio Valley Trophy Hunts, LLC, contracted guides, cooks, and employees from any liability for injury or illness which me be incurred as a result of hunting or scouting with ILOVTH, llc.