NORTH CAROLINA WILDLIFE RESOURCES COMMISSION

DIVISION OF WILDLIFE MANAGEMENT

HUNTING LICENSE EXEMPTION APPLICATION

In accordance with the provisions of North Carolina Administrative Code 15A NCAC 10B.0126, I hereby apply for an exemption from hunting license requirements for the participants in an organized hunting event conducted by a governmental or non-profit entity. I understand this form must be submitted at least 21 days prior to the event.Applicant's Name:

Hunting License Exemption Number: Office use only

Title: Governmental or non-profit organization name:

Address: Address:

City, State: Zip Code:

City, State: Zip Code:

Phone: Fax: e-Mail: Website (if applicable):

Date(s) of event: Beginning and Ending Times:

Location of event:

County: Species to be hunted:

Estimated number of people attending event:

State the purpose of the event:

Name (print):

Signature: Date:

Sign and mail application to: Brad Howard, Chief Division of Wildlife Management North Carolina Wildlife Resources Commission 1722 Mail Service Center Raleigh, NC 27699-1722 Phone: (919) 707-0050

It is agreed that the person in charge of the event must be on-site at all times and have a copy of the exemption letter available for inspection on request by Commission personnel. The license exemption is limited to the location of the event and shall remain in effect for the time period specified on the on the letter. All other laws and rules applicable to the species and season will apply to the participants, including reporting big game harvests and federal migratory game bird hunting requirements. At the conclusion of the event you agree to furnish the Division of Wildlife Management the names and numbers of all event participants 16 years or older without a hunting license on the form provided.

Restrictions on Participants

All hunting event participants, including those exempted from the hunting license, must:

1. have successfully completed the hunter safety course or be accompanied by a properly licensed adult who maintains a proximity to the license exempt individual which enables the adult to monitor the activities of, and communicate with, the individual at all times;

2. report all big game harvested using the License-Exempt Big Game Harvest Report Card; 3. obtain a certificate of participation in federal Harvest Information Program, if hunting

migratory game birds; and 4. obtain a federal Migratory Bird Hunting and Conservation Stamp, if the participant is 16

years of age or older and hunting waterfowl.

Application Rejection

The hunting license exemption application may be rejected for any of the following reasons:

1. The applicant is not representing a governmental or non-profit entity. 2. The application contains false information. 3. The event is not an organized hunting event. 4. The purpose of the event is inconsistent with the mission of the Wildlife Resources

Commission as stated below. 5. The purpose of the event is for something other than to promote hunting to youth,

disabled people, novice hunters or lapsed hunters.

The mission of the N.C. Wildlife Resources Commission is to conserve North Carolina's wildlife resources and their habitats and provide programs and opportunities that allow hunters, anglers, boaters and other outdoor enthusiasts to enjoy wildlife-associated recreation.