Michigan Bow Hunters Big Game Award Application In order to be eligible for an MBH Big Game Award, the animal must be taken while hunting with a bow and arrow in Michigan. MBH membership MUST be active at the time the animal is taken and the animal must be recovered in accordance with Pope and Young rules. No award will be given for animals taken on enclosed hunting preserves. This section MUST be filled in completely to receive any award. Only two awards for deer are allowed per year and only ONE animal is allowed per application sheet. Applications for Elk or Bear MUST be accompanied by said permit or a photocopy thereof. Failure to fill in all the lines properly on this side of the application or failure to attach copy of Elk or Bear license/permit will result in application being returned and NO award will be given. Are you applying for your First (1^st) Big Game award? Yes No Name: Male Female Date of Birth (mm/dd/yyyy) Street Address City State MI AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Phone number (xxx-xxx-xxxx) Animal taken: Deer Bear Elk Sex F M Field dressed wt: # Date of Kill Time AM PM Number of Points 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 County taken in Alcona Alger Allegan Alpena Antrim Arenac Baraga Barry Bay Benzie Berrien Branch Calhoun Cass Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Genesee Gladwin Gogebic Grand Traverse Gratiot Hillsdale Houghton Huron Ingham Ionia Iosco Iron Isabella Jackson Kalamazoo Kalkaska Kent Keweenaw Lake Lapeer Leelenau Lenawee Livingston Luce Mackinac Macomb Manistee Marquette Mason Mecosta Menominee Midland Missaukee Monroe Montcalm Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Ontonagon Osceloa Oscoda Otsego Ottawa Presque Isle Roscommon Saginaw Sanilac Schoolcraft Shiawassee St. Clair St. Joseph Tuscola Van Buren Washtenaw Wayne Wexford By submitting this application, I hereby certify that the above information is accurate and that the animal was taken in accordance with the rules of fair chase as stated in the MBH constitution and bylaws. Date Submitted Name, address, & phone number of person verifying animal was taken by applicant: Applications Submitted later than January 15^th Will NOT be honored. Supporting documentation (bear and elk permits, etc.) can be scanned and emailed to dfrein@verizon.net or you can mail copies to: MBH Awards Director, Dan Frein, 833 Carlton St., Muskegon, MI 49442

Bowhunting Questionnaire (Optional) Thank you for taking time to fill in the following optional information. Age of animal if known Pope and Young Score Animal was taken on: Private Land Public Land Length of Recovery Time Distance Animal Traveled Was Bait Used? Yes No If Yes, what type of bait(s)? Hunting Method used to take animal: Tree Stand Ground Blind Stalking/Still Hunting Animal Was: Walking Standing Running Other Animal Shot Position: Broadside Quartering Away Quartering Forward Facing You Shot Distance Hit Location Organs Penetrated Bones Cut or Broken Name of Bow Compound Recurve Longbow Bow Weight # % Let off Arrow Type Aluminum Carbon Wood Other Broadhead Name Number of Cutting Edges 2 3 4 5 6 Years Hunted with a Bow Years Member of MBH # Days Hunted with a Bow This Year # Shots Taken # Animals Shot this year that were NOT Recovered # Deer Taken with a Bow This Year # Deer Take with a Bow Lifetime # Bear Taken Do You Deer Hunt with a Gun also? Yes No Comments: