Name: 
 Address: 
    City: 
   State:  Zipcode: 
   Email: 

Your Age (optional): 

Harvest Date ... 
Month: 
	January
	February
	March 
	April
	May
	June
	July
	August
	September
	October
	November
	December
	  Day: 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
  Year: 
2010
2011
2012
2013
2014
2015
2016
 
 
Deer Sex: 
	Buck
	Doe
  Dressed Weight:  

Number of Antler Points ...
Right Side: 1
2
3
4
5
6
7
8
  Left Side: 1
2
3
4
5
6
7
8


How Was Deer Taken? 
	Tree Stand
	Blind
	Stalking	

  
Type of Bow: 
	Recurve
	Longbow (Howard Hill, American Flat, ELB, etc)
	Longbow (mild R/D, "D" braced limbshape)	
	Longbow (aggressive R/D, reflexed when braced)	
	Selfbow (1 piece stave, can be backed)
	Selfbow (1 piece board, can be backed)	
	All Wood Composite (2+ woods, can be backed)


Bowyer/Company: 

Bow Holding Weight at Your Draw Length:   
  
        Type of Arrow: 
	Wood
	Carbon
	Aluminium
	Fiberglass	 

Arrow Weight (grains): 
 Arrow Fletching Type: 
	Feathers
	Plastic
	Other

   Number of Fletches: 
	Two
	Three
	Four
	Flu-Flu	

         Fletch Shape: 
	Shield
	Parbolic
	Banana
	Custom	

        Fletch Length: 

 Broadhead Brand: 
Broadhead Weight: 
Broadhead Blades: 
	Twin
	Three
	Four


  Distance Deer Shot: 
Distance to Recovery: 
Hit Location on Deer: 
      Number of Hits: 

   County of Harvest: 

        Hunting Land: 
	Public
	Private
  

        Season Taken: 
	Early Bow
	Regular Bow
	Extended Bow
	Winter Bow	


  Weather Conditions: 
  
NOTE: Please send pic(s) ALONG WITH YOUR FULL NAME to:   

Additional Comments?