This form is to gather information about each hunter participating in the American Gratitude Retreat. Please complete the form for each member of your family that will be in the field during hunting activities of the Retreat.

If you do not have a valid Kansas Hunting License, please visit GOOUTDOORSKANSAS.GOV and purchase your license. If you are a Kansas resident and do not have a Hunting License OR if you are from out of state or only plan on hunting on our Controlled Shooting Area, you only need to purchase a CSA Hunting Permit. The cost is $27.50 for Kansas residents and $52.50 for non-residents. You will add your KDWP# in the form below.

Hunting and Retreat Waiver

This field is for validation purposes and should be left unchanged.
Name(Required)
Address(Required)
KDWP# or KS Controlled Shooting Area License #
MM slash DD slash YYYY
By re-entering your full name and clicking submit, you sign this release form.