|
![]() Burdick's Lodge Rules
(If you're not sure about a law / regulation or camp rule PLEASE ASK, you may also contact the Pennsylvania Game Commission at : www.pgc.state.pa.us prior to your arrival )
LEGAL SHOOTING TIME BEGINS / LEGAL SHOOTING TIME ENDS _________________ _________________
Release form follows. Or Print Release Form. (Microsoft Word documtent. Click to open and print.) Safety Safety Safety Safety Safety
ALL hunters and or families read our release form , Please sign and bring with you, release form must be completed prior to hunting with us.
All BURDICK'S LODGE clients must read, agree and adhere to all of our camp rules. All hunters are responsible for their own actions. Perry Burdick / Burdick's Lodge and other owners / or partial owners of camps, tree stands and or properties will not be held responsible or held liable for inappropriate actions, Game Law violations, accidents, injuries or death while hunting with us here at Burdick's Lodge.
Hunter #1________________________________date__________ Hunter #2________________________________date__________ Hunter #3________________________________date__________ Hunter #4________________________________date__________ Hunter #5________________________________date__________ Hunter #6________________________________date__________
Feel free to give me a call at “ANYTIME” of the day or night:
814-887-2119 ( H ) 814-887-4160 ( W ) 814-366-3124 ( C )
Enjoy your hunt with us here at Burdick's Lodge !
R. Perry Burdick
Hunting License Application follows. Or Print Hunting License Application. (Microsoft Word documtent. Click to open and print.)
Hunting License Application
Full Name_________________________________________________________ Street or Box_______________________________________________________ City ___________________________ State _________ Postal Code__________ Telephone Number __________________________________________
Fax Number __________________________ Archery Tag - Muzzleloader - Bear
Email _____________________________________________________ Color of Eyes____________________ Color of Hair______________________ Height__________________________ Weight___________________________
Date of Birth ___________________Drivers License #____________________
Male or Female ( circle ) Corrective Lens Required : Yes / No (circle ) Social Security Number_______________________________________ Prior hunting license lawfully obtained from a prior year : _______________________________________________________________ ( State or Nation ) ( Year ) ( License Number ) Signature________________________________________ Date ____________
I , _______________________________________
agree to obey all Pennsylvania Game Laws while hunting with Burdick's Lodge, I understand that if ANY member of my hunting group blatantly breaks A Game Law the entire hunting party will be removed from the camp, and No money refunded. I also agree to use a Safety Belt while hunting in a tree stand, I also agree Burdick's Lodge will NOT be held responsible for accidents, injury or death while hunting from any tree stand while hunting with Burdick's Lodge. I also agree to obey all Burdick's Lodge Camp Rules. I also agree to hunt on Burdick's Lodge designated hunting areas, I will only hunt on these areas and will NOT ask permission to hunt on any other properties. I will make 100% SURE of my target and it's surroundings prior to shooting at any animal !
( signature required )
![]() Home Page ©2004 R. Perry Burdick Wednesday, December 19, 2007 |