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Backup Documents 12/12/2023 Item #16A23 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 2 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 2. 3. County Attorney Office County Attorney OfficeOIA • 4. BCC Office Board of County Commissioners R(. /0115/ l2/i (2 5. � - 23g:34/0 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing informa'on. Name of Primary Staff Molly DuVall Contact Information 239-252-2960 Contact/ Department molly.duvall@ colliercountyfl.gov Agenda Date Item was December 12,2023 Agenda Item Number 16.A.23 Approved by the BCC Type of Document Pepper Ranch Preserve Youth Hunt Agreement Number of Original 5 Attached Documents Attached PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK MD 2. Does the document need to be sent to another agency for additional signatures? If yes, MD provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's n/a Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the MD document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required'. 7. In most cases(some contracts are an exception),the original document and this routing slip nia should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on December 12,2023,and all changes ‘q111\. made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC, all changes directed by the BCC have been made, and the document is ready for the Chairman's signature. 16A23 MEMORANDUM Date: December 15, 2023 To: Molly DuVall — Conservation Collier Program From: Yani Fernandez, Deputy Clerk Minutes & Records Department Re: Pepper Ranch Preserve Youth Hunt Agreement Attached for your records is one (1) original of the document as referenced above, (Item #16A23) adopted by the Board of County Commissioners on Tuesday, December 12, 2023. Please return a fully executed copy back to our office to be held in the Board's Official Records. If you have any questions, please feel free to contact me at 252-1029. Thank you. Attachment 1 6A 23 OFFICE OF THE COLLIER COUNTY GROWTH MANAGEMENT DEVELOPMENT REVIEW DIVISION INTEROFFICE MEMORANDUM TO: Office of Board of County Commissioners of Collier County FROM: Molly DuVall, Conservation Collier Program DATE: December 13, 2023 RE: Chairman's Signature for Pepper Ranch Youth Hunt Agreement with FWC Attached is a copy of the Pepper Ranch Youth Hunt Agreement with FWC which was approved by the Board of County Commissioners on December 12, 2023 Agenda Item 16.D.23. Please sign or stamp as to approval of this Youth Hunt Agreement and email a copy of the signed document to Molly.DuVall©CollierCountyFL.gov. Thank you for your assistance in this matter. If you have any questions, please contact me at (239) 252-2960. Attachment: 2023 Pepper Ranch Youth Hunt Agreement 1 6A 23 FWC Youth Hunt Agreement No. FWC 23029 MEMORANDUM OF AGREEMENT BETWEEN FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION AND BOARD OF COUNTY COMMISSIONER OF COLLIER COUNTY o/b/o COLLIER COUNTY FWC YOUTH HUNT AGREEMENT No. FWC 23082 This MEMORANDUM OF AGREEMENT is entered into by and between THE FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION, whose address is 620 South Meridian Street, Tallahassee, Florida 32399-1600, hereafter "COMMISSION," and BOARD OF COUNTY COMMISSIONER OF COLLIER COUNTY o/b/o COLLIER COUNTY,whose address is 3299 Tamiarni Trail, East,Naples, FL 34112, FL 34112 is hereafter"LANDOWNER", collectively, "Parties". NOW THEREFORE, the COMMISSION and the LANDOWNER, for the considerations hereafter set forth, agree as follows: 1. TERM: The term of this Memorandum of Agreement shall begin upon execution of this Agreement and remain in effect until the last scheduled hunt, listed below, is completed and the COMMISSION no longer has access to the Premises as specified in Section 5 of this Agreement, entitled ACCESS. However, the COMMISSION is only leasing the Premises on the dates the COMMISSION has access to the Premises, as specified in Section 5 of this Agreement. The dates of the scheduled hunt(s) are as follows: Hunt 1: Rabbit/Squirrel/Hog Dates: 1/19/2024 Thru 1/21/2024 Hunt 2: Turkey Dates: 2/23/2024 Thru 2/25/2024 In the event of inclement weather or other unforeseen circumstance, the Parties will agree on a mutually acceptable date for rescheduling a hunt. The terms of this Agreement shall extend to the rescheduled date without need for further amendment and will terminate upon completion of the date of the last rescheduled hunt. 2. ACREAGE: The land subject to this Agreement, generally known as Pepper Ranch Preserve is approximately 2500 acres in Collier County, Florida, as more particularly outlined on the attached map which is hereby incorporated (the"Premises"). 3. PURPOSES: The purpose of this Agreement is to provide for the terms, conditions and limitations for the use by the COMMISSION of the lands listed above for the express purpose of providing a Commission-sponsored activity as described in the attached Youth Hunting Program of Florida Youth Hunt Announcement Form(s) ("Forms") which are hereby incorporated — to enhance, encourage and educate youth in the use of safe and practical hunting and fishing techniques and tactics in the outdoors. 4. USES: The COMMISSION and its agents shall have the exclusive right to enter onto the property to plan, improve and otherwise make provisions for use under the terms of this Agreement. The use of the Premises for a Commission-sponsored youth hunting activity as described in the attached Forms shall be for the management of wildlife and/or aquatic life as outlined in the attached Forms, MOA-Youth Hunt(LANDOWNER) Page 1 of 5 FY 2023/2024 1 6A 23 FWC Youth Hunt Agreement No. FWC 23029 including, but not limited to, the implementation of programs for public hunting and fishing by all legal means, and programs for a variety of non-consumptive uses of wildlife by the public. The use of the Premises for a youth hunt(s), except as herein provided, shall be consistent with and not interfere with the LANDOWNER'S uses of the land. Hunting on the land will be limited to the number of pre-determined youth hunters as outlined in the attached Forms. The LANDOWNER shall endeavor to use the land so as not to unreasonably interfere with the exclusive uses of the land by the COMMISSION. LANDOWNER agrees to notify COMMISSION in advance of any other hunting or other activities taking place on the premises that may present a danger to human life or health,or that may affect or interfere with the activities described in the attached Forms. 5. ACCESS: Subject to the terms and conditions of this Agreement,the COMMISSION shall have free and full access to the Premises on the days of the scheduled hunt(s) for the purpose of administering youth training programs. The COMMISSION shall also have free and full access to the Premises 7 days before the scheduled hunt(s)to prepare for the hunt(s)and 7 days after the scheduled hunt(s)to clean-up. Hunting on the Premises pursuant to this Agreement shall only take place on scheduled hunting dates, listed above, and as outlined in the attached Forms. The LANDOWNER shall take reasonable steps to provide such free and full access by the COMMISSION; provided, however, the LANDOWNER shall have no duty of care to keep the Premises safe for entry or use by others, or to give warning to others entering or going on the Premises, as set forth in Florida Statute (F.S.) § 375.251. 6. STRUCTURES: The COMMISSION shall obtain prior approval from the LANDOWNER before using any facilities or locating any temporary structure, including any hunting blinds or tree stands, as herein provided. No structure shall be located permanently on the Premises without the prior written approval of the LANDOWNER. 7. GENERAL MAINTENANCE: The COMMISSION shall, at its sole expense and to the best of its ability, maintain the Premises in a clean and natural state and prevent and remove all litter and debris on the Premises arising from the uses of the land for a Commission-sponsored youth hunt. Further, except as approved in writing by the LANDOWNER, the COMMISSION shall, at its sole expense and to the best of its ability and to the fullest extent of its lawful authority,prevent cutting or removing trees by any person. 8. FINANCIAL OBLIGATION: This Memorandum of Agreement is not a contract for services and is not intended to create financial obligations between the Parties. However, in the event that costs are incurred as a result of either or both of the Parties performing their duties or responsibilities under this Memorandum of Agreement, the Parties agree to be responsible for their own respective costs. 9. LIABILITY: To the extent provided by, and subject to the limitations and conditions specified in F.S. § 768.28,the COMMISSION shall be responsible for any loss or damage resulting in whole or in part from its use of the Premises under the terms of this Agreement. Nothing contained herein shall be construed as a waiver of any limitation the COMMISSION may enjoy in accordance with F.S. § 768.28, or any other law providing limitations on claims. in addition, nothing contained herein shall be construed as a waiver of any limitation of liability that may be enjoyed by the LANDOWNER providing land to the public for outdoor recreational purposes, as provided in F.S. § 375.251, or any other law providing limitations on claims against the LANDOWNER. COMMISSION agrees to provide the attached written notice of F.S. § 375.251 to all person(s) volunteering or participating in this activity before the scheduled hunt or at the time of entry upon the MOA-Youth Hunt(LANDOWNER) Page 2 of 5 FY 2023/2024 1 6A 23 FWC Youth Hunt Agreement No. FWC 23029 LANDOWNER'S property. LANDOWNER agrees to post the attached written notice of F.S. § 375.251 conspicuously upon the area before or at the time of entry upon the LANDOWNER'S property. LANDOWNER agrees to not receive any compensation for the activity outlined in the attached Forms above the reimbursement of reasonable costs or expenses associated with the execution of this Agreement. LANDOWNER understands that the limitation of liability extended to an owner or lessee under F.S. § 375.251 applies only if no charge is made for entry to or use of the area for outdoor recreational purposes and no other revenue is derived from patronage of the area for outdoor recreational purposes. LANDOWNER agrees to not deliberately,willfully,or maliciously injure any persons or property as doing so could void LANDOWNER rights under F.S. § 375.251. 10.TERMINATION: Either party may terminate this Agreement by giving written notice to the other party specifying the termination date, by certified mail, return receipt requested, at least thirty(30)days prior to the termination date specified in the notice. Either party hereto shall have the right to immediately terminate this Agreement upon written notice to the other party in the event of such party's act of fraud or willful misconduct, or breach of this Agreement. 11. NOTICE: Unless a notice of change of address is given, any and all notices shall be delivered to the parties at the following addresses: LANDOWNER COMMISSION Molly DuVall Tyler Allen BOARD OF COUNTY COMMISSIONER OF Florida Fish and Wildlife Conservation COLLIER COUNTY o/b/o COLLIER Commission COUNTY 3299 Tamiami Trail,East, 620 South Meridian Street Naples,FL 34112 Tallahassee, FL 32399-1600 12. MODIFICATION OF AGREEMENT: No waiver or modification of this Agreement or of any covenant, condition, or limitation herein contained shall be valid unless in writing and lawfully executed by the parties. 13. CANCELLATION UNDER F.S.CHAPTER. 119: This Agreement may be unilaterally canceled by the COMMISSION for refusal by the LANDOWNER to allow public access to all documents,papers,letters. or other material subject to the provisions of F.S. Chapter 119, and made or received by the LANDOWNER in conjunction with this Agreement. 14. PUBLIC RECORDS OF NONGOVERNMENT CONTRACTORS: All records in conjunction with this Agreement shall be public records and shall be treated in the same manner as other public records are under F.S. Chapter 119. 15. NON-DISCRIMINATION: No person, on the grounds of race, creed, color, national origin, age, sex, or disability, shall be excluded from participation in, be denied the proceeds or benefits of, or be otherwise subjected to discrimination in performance of this Agreement, 16. PROHIBITION OF DISCRIMINATORY VENDORS: In accordance with F.S. § 287.134, an entity MOA-Youth Hunt (LANDOWNER) Page 3 of 5 FY 2023/2021 1 6A 23 FWC Youth Hunt Agreement No. FWC 23029 or affiliate who has been placed on the discriminatory vendor list may not submit a bid, proposal, or reply on an agreement to provide any goods or services to a public entity; may not submit a bid, proposal or reply on an agreement with a public entity for the construction or repair of a public building or public work; may not submit bids,proposals,or replies on leases of real property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not transact business with any public entity. 17. SEVERABILITY AND CHOICE OF VENUE: This Agreement has been delivered in the State of Florida and shall be construed in accordance with the laws of Florida. Wherever possible, each provision of this Agreement shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision of this Agreement shall be prohibited or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition or invalidity, without invalidating the remainder of such provision or the remaining provisions of this Agreement. Any action in connection herewith, in law or equity, shall be brought in Leon County, Florida. 18. NO THIRD-PARTY RIGHTS: The parties hereto do not intend nor shall this Agreement be construed to grant any rights, privileges or interest to any third party. 19.JURY TRIAL WAIVER: As consideration of this Agreement, the parties hereby waive trial by jury in any action or proceeding brought by any party against any other party pertaining to any matter whatsoever arising out of or in any way connected with this Agreement. 20. ENTIRE AGREEMENT: This Agreement with all incorporated attachments represents the entire Agreement of the parties. Any alterations, variations, changes, modifications or waivers of provisions of this Agreement shall only he valid when they have been reduced to writing,and duly signed by each of the parties hereto, unless otherwise provided herein. Remainder of Page Intentionally Left Blank Signature Page to Follow MOA-Youth Hunt (LANDOWNER) Page 4 of 5 FY 2023/2024 1 6A 23 FWC Youth Hunt Agreement No. FWC 23029 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed through their duly authorized signatories on the day and year last written below. Florida Fish and Wildlife Conservation Commission George Warthen, Director(or designee) Division of Hunting and Game Management Date ATTEST: : BOARD OF COUNTY COMMISSIONERS OF CRYSTAL, K � ci RK COLLIER COON R1DA Ucputy ClL k `tt- as to hairman's Rick LoCastro,Chairman signature only Approv ; to firm and legality: Date: 12//1/2 Sall A. ika ssis t C unty Attorne AV/17 Attachments: FWC Youth Hunt Announcement Exhibit B MOA-Youth Hunt (LANDOWNER) Page 5 of 5 FY 2023/2024 o 16A23 EXHIBIT B �P�y 1 6 A 2 3 Pepper Ranch Preserve Lege! Description Properly Tax Identjication Number: 00052360002 A parcel of and lying in the East Half (EY,11 of the East Half 8 tA of he Southwest Quarter (S'Ar1/4) of the Southeast Quarter (SErl.,1 of Section 22, TOWt1Ship 416 South, Range 26 East, Collier County. Florida. hang more particularly described as follows: Commence at the Southeast corner of Section 22. Township 46 South. Range 28 East. Collier County, Florida; thence !tun S 88'57 47- VV, along the south lrle of the Southeast Quarter SE said Seetion A for a distance of 1320 38 feet to the Point of Beginning cif :the cel land herein desoribed: thence continue S 88'57 47 Vy' along the south line of the Southeast Quarter ,(SE',,l1) of said Section 22, for a distance of :330 09 feet, tnehoe run N 00'31-18 VI for a distance of 1342.51 feet: thence. run N 8858'31 E for a distance of 330.12 feet: thence run S 00-3114" E, for distance of 1'342,44 feet to the Point of Beginning: containInd 10,17 acres, more or less. AND Dr,-.1perty Tax tdentlfication Number 000524.-40303 e parcel of land lying in the Southeasl Quarter E of the Southwest Quarter and the West Half (V1,1,1 of the Southwest Quarter (5W'4) of the Southeast Quarter of Section 22, Township 46 South, Range 28 East, Collier County, Fonda, hemp more partioularly described as follows: Cornmenee at the Southeast comer of Section 22, Township 46 South Range 28 East, Collier County. Fiorida thence run S 88 5747' VVh along the south line of the SOUtheast OuarterSE 8 f said Section 22 for a distance of 1980 56 to the Point of Beginning of the parcel of land herein described: thence continue 8 88'57'47" W. Wf.mg the south line of the Southeast Quarter tSE of said Section 22, for a distance of 660 19 feet to the South Quarter corner of said Section 22: thence Rin S 88'57'4.7" along the south line of the southwest quarter of said Section 22, for a (iiskande of 1321,80 fect. thence run N 00'38 44'. for a rt .stane of 1342.51 feet, thence run N 88'59'17 E, for a distance of 1324,63 feet thence run N 885931" E. for a distance of Sr,.'llD.24 fee',. thence run S 003122' E for a distance of 1342,58 fee', c the Point of Beginning containing 61 13 acres. more or less 1 6 A 2 3 AND Probeq Tax identification Number, 00052680009 Inc Southeast Quarter (SE1%) of the Southwest Quarter SW4t of Section 26. I,Dwnship 46 South, Rahge 28 East, Collier County. Florica: containing 40 38 acres more or less. AND property Tax Identifiaition Number. 00053000002 Section 28. Township 46 South, Range 28 East. Cniker County Honda, f;ontaining 645,47 acres more or ;ess, AND Property Tax Identification Number 08053920001 The Northwest Quarter (NW'M of the Northeast Quarter NEi of the Northwest Quarter NW ; of Section 35 Township 46 South, Rancic 28 East, Collier County. PCrida; contanin9 10 09 acres more or (:Iss AND mro,,,;erty Tax if..,.4e.ntificatori Number: 00052640007 A parcel of land located n a ,-,-Jortiori of Section 26, Townshp 46 South Range 28 East. Cdlier County, Fonda being more particularly descrbed asWows: The West hia!f W1c of Section 26, Township 46 South, Range 28 East, ColFer County. Flo,rida, less the North 1452.35 feet therepf and less the Southeast Quarter SEO of the Southwest Quarter (;S\AC/r.,) of said Section 2f . and less that parcel of land, as described ard recorded in Official Recoras Book 2585 at Page. 2735 through 2737 owned by Scluth Florida '1-later Management Qs rt uth TZ-1X F0l10 Number 0005264:7)07: containing 165,91 acres, more or less. AND Pronely Tax Identification Number: 00052960004 ;7,., ; of Section 27, Township 46 South. Range 28 East. Coliier Coulty. Florida: containing 643.58 acres more or Less, 1 6 A 2 3 AND iiiiihithiyi Tax Identification Number: 00053200006 Section 33. Township 46 South, Range 28 East, Collier County, F-1,(„ii,Hit.:,,. ritairiing 708,.33 acres more or less. AND Proper( Tax identification Numitters, 00053840000 iSit 00054040003 The Easi Half (El..,. ) of the East Half itEirixl of the Northwest Quarter 1,t,„ftl',,t' ....,y. Northeast Quarter (NElifil), less the East 30 feet and the Northerly 30 right,of-way per dedication thereof reGOrded I'l Pim Bock 12, Pepper Pleag,i„ Section 35, Township 46 South. Range 28 East, Public Florid,a less 2.29 acres in Ihe Northeast Quarter (NE....,:il Eltitit'-iii:l, :‹tovaeet, in Official Records Book 1834, Page 215: also less th.(.? *,)t,lit Cairn Deefi r'ecurcied in Oft -I Records sii3ok Officiiiii Records BOak 280, Page 480: and in Official Records Bock lo Offo;:ill Records Book .289, Page 910t all of the Public, Records of Fiorrdai , AND , The Southwest Quarter (SWo of the Northwest Quarter (NW ): and the West Half of The Southeast Quarter (SE'Riui of the Northwest Quarter iNtA17,it. and the Southwest Quarter (SW14) of the Northeast Quarter (NE of of the Northwest Quioiiii f,NI1,11/4), and the South Half (Sl..ir:zli of the Northwest Quarter (NW/4): of the Nortii,,;,,,:,..,:,: Qt,i,i3rter (N\A",iiii,): and the Northwest Quarter'NW litill of the Northwest, Quarter 'il‘fitii`iiii'i, •.'H the Northwest Quarter (NWRiit: and the West Half Cti,V,.../,,i of the Northeast 'Due iitic i'loll lc,.. NorthweSt Quarter (N:c,',,r../.:]1'; of the: r\tortimwiest Quaner ;NVAP.:,.it) To,„,,insthip 4f.'„, South,. Range 28 East, Collier' County. Florida; containing 203.63 acres, more or less. The aforementioned parcels equates to 2,511.90 acres, more or less. , . 1 6 A 2 3 1 ,, 024,,r,7,4•.':•,,-,'.s.t,,5.41P• .,..11C7:1'''-',,,q,',11;".;r•••,.416.44•'„,s'.,,..r ,,..,,&.-:!, •,,,,..4 „„ , -4. :.' :.,..,„...,, ,,,,,.. ',.1.%•.,:to,•,,..! .•'"• '''''.',• 1•J.:',.;,,4.,.'PO'....'i'•'...'••?0,11,0.• .i.•••NI,•,,i4,4%:•...'04..'•:JV.,:°.4:,74 t... .".01,41',"•it t,'*•'''''''''''' ' ' •,ir.%"11:4 '', ..i,',1. '=',,.:ti,,,Nte,,i1' -..,.. :i' brtli' t'' , 4401.'4,41:42.;'ell 24•-••• ''''"t'..,iiIK'''','!":.:44*;C4.„l'f!'Q•:','%,,,",',7•7''''''A ...''14,0410 -Iii. 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'..•''',.".=. .....'r-!••,;,•'7•.,i ,„,.,=,r, --• ••:= =. , •.. _ _ • • ..,- „•... 4,41,-'•,'',•',.''• '.. • ' . '. 1 6A 23 YpliH18N'!"3ktU�M{NG FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION pw 4.,� Hunter Safety and Public Shooting Ranges Section . � c Youth Hunting Program of Florida g `' I. , Marksmanship Certification '4no.co— The responsible pursuit of hunting involves many ethical considerations. A few of these are as follows: • Being familiar with the firearm or bow to facilitate its proper and safe use. • Being confident with the use of the firearm or bow to enable an enjoyable hunt. • Being able to avoid a poorly placed shot and its consequences. In order to further these and other considerations, the following three rules have been established: 1. Each participant (youth hunter) selected for a YHPF youth hunt is required to practice with the firearm or bow, intended to be used on the youth hunt, within 14 days prior to the youth hunt. This practice may be accomplished over a period of days. This will require a minimum of the following: a.) For rifle hunts- 10 rounds of factory load ammunition placed in a target at a range of 100 yards; this completed form and the target should be presented at check-in for the youth hunt. b.) For shotgun hunts - 10 rounds of factory load ammunition at appropriate targets, clays, etc; this completed form should be presented at check-in for the youth hunt. c.) For bow hunts- 10 arrows placed in a archery target at a range of 20 yards; this completed form and the target should be presented at check-in for the youth hunt. Should these not be presented at check-in, the Huntmaster will have the option of excluding the youth hunter from hunting until proficiency has been demonstrated. Note: Should the event require different criteria (such as a shotgun patterned at 30 yards for turkey hunting)please consult with your Huntmaster for the appropriate recommended practices. 2. Upon arrival at the youth hunt, the participant (youth hunter) will be required to demonstrate marksmanship proficiency and knowledge as well as to verify that the firearm or bow is still properly sighted. The Huntmaster may exclude any participant from hunting until this requirement has been accomplished. In the event that the participant's firearm or bow is not properly functioning or appears unsafe, an alternate firearm or bow may be used. 3. A marksmanship shooting activity will be held as soon as practical on each youth hunt. At that time, all participants (youth hunters)will be required to show proficiency and knowledge of their firearm or bow in order to be allowed to hunt. We certify that (youth hunter) did use a (f'earm or bow)fired at yards on (date)and did exhibt sufficient skills to be allowed to participate in a wild game youth hunt. Range Coordinator/Witness Signature Parent/Guardian Signature Participant (youth hunter) Signature e:mvJ<u'nmenn a,rk/Ye yhpffur,,, morkvrrnrah/p err,,/i unun Rev.12 16;U' 11111) 1 6A 23 YOUTH_HUN.T,ING aP�ts ""O�s, PLO RAM =FLORIDAFLORIDA`FISH AND WILDLIFE CONSERVATIONCOMMISSION O 11111 6 rI Division of Hunting and Game Management—Hunter Safety Section Florida YOUTH HUNT ANNOUNCEMENT FORM DETAILS OF YOUTH HUNT Name of hunt Location(Property,Club,etc.) Dates of Youth I lunt Emergency Phone#During Youth Hunt Pepper Ranch Preserve Jan 19-21, 2024 2392581015 Location of Youth I (County,physical address and/or GPS coordinates—Attach Legal Description of Property) Approximate acreage Collier County 6315 Pepper Rd, Immokalee, FL 34142 2 500 Landowner Contact Information(Name,Address,Street) State Zip Molly DuVall 3300 Santa Barbara Blvd., Naples FL 34116 Yl IPF Coordinator Coordinator# Assigned I IuntMaster(s) Grayson Giles 850-556-0180 Josh Ruby HuntMaster Phone(please include area codes) home: 239-258-1015 Cell: 239-258-1015 Email: joshandbriesa@gmail.com Hunt Information Type ol'Hunt(deer.hog,turkey,etc.-be specific listing sex lilapplicable]and quantities desiring to be harvested.) Rabbit/Squirrel/Hog #of youth hunters supplied by landowner #of youth hunters supplied by YHPF Total#of youth hunters 0 5-First-time youth hunters from Collier County preferred 5 Will hunters be camping? Yes ❑ No Is there access to fishing that the Landowner authorizes YIIPI'to use? ❑ Yes 0 No Are there cooking facilities that the Landowner authorizes YFIPF to use? Will HuntMaster need cooking equipment, food or help Yes ❑ No If yes.please describe: making food arrangements? ❑ Yes 0 No If yes. oven and stove inside lodge please describe: Are there lodging facilities that LESSOR authorizes LESSEE to use'? Will IuntMaster need camping supplies and/or 0 Yes ❑ No !ryes.please describe: equipment from YFIPF"? ❑ Yes 0 No If yes, lodge for the volunteers to stay please describe: Are there game cleaning facilities that Landowner authorizes Yl IPl to Are there permanent hunting stands that Landowner use? ❑ Yes 0 No If yes,please describe: authorizes YIIPF use'? ❑ Yes [] No If yes,please describe: Will HuntMaster need portalets,an Advanced Check Request,tags or Youth Hunting Program of Florida any other item(s)that may not he mentioned? c/o Florida Fish and Wildlife Conservation ❑ Yes 0 No If yes,please describe: Commission 620 South Meridian Street Tallahassee,FL 32399-1600 (850)488-8984(office) Email:Tyler.Allen@MyFWC.com U`t ' 16A23 YP THHUxtin FLORIDA FiSH AND WILDLIFE CONSERVATION COMMISSION 0»,4b I lunter Safety and Public Shooting Ranges Section . r Youth Hunting Program of Florida UNCONDITIONAL RELEASE OF LIABILITY RISKS i/We have knowingly and willingly entered into a YHPF activity and agree to abide by its rules,terms,provisions and conditions. I/we understand that if any person displays unsafe,unethical, illegal,or disruptive actions/attitudes or disobeys rules/policies,the entire party may be removed from the activity in the sole discretion of the Hununaster, who has absolute authority over the activity. I/we further understand that most youth hunts normally end approximately mid-day on Sunday and that participants will not be permitted to leave before then. In the event photographs, slides, interview or video tapes are made,Uwe consent to the release of those images for use by the FWC in support of YIIPF. In consideration for the right to participate in the YHPF activity.1/we unconditionally release,indemnify and hold harmless: • (Landowner) • Florida Fish and Wildlife Conservation Commission • Wildlife Foundation of Florida • Youth I hinting Program of Florida • As well as any other organization associated with this youth hunt and all their officers, directors, trustees, employees, volunteers, agents, individually and collectively ("released parties") from and against any and all claims, demands, causes of action and damages, including attorneys' fees, for personal injury or loss either at or en route to and/or from the YHPF activity, resulting from any accident, incident or occurrence arising out of;incidental to or in any way resulting from.the YHPF activity whether or not caused by any released party's negligence or gross negligence.I/We agree that I/we,my/our heirs,successors and assigns will not make any claim or institute any suit against the released parties. This release is full,final and unconditional,and is given for good and valuable consideration. But for this release,the named child or I would not he allowed to participate in the YHPF activity, This release is intended, and shall be construed, to exclude the released parties hom am and all liabilitr. I/we further acknowledge and understand that no warranty,either expressed or implied,is made by YIIPF as to the YHPF activity,or of any roads, buildings,gates or other improvements,and that dangerous conditions,risks and hazards do exist,including: poisonous snakes,insects and spiders; blinds and tree stands,whether or not erected by participant(s);erosion and general condition of the land,both on and off roadways or trails,creating rough,hazardous and dangerous driving and walking conditions;animals both wild and domestic that may be diseased and/or potentially dangerous: deep water;persons with firearms and knives;and the use of vehicles. I/we arn/arc aware of these conditions and expressly assume all dangers,risks and hazards. i/We give permission to have emergency first-aid administered in the sole discretion of the Huntmaster and to be transported by the most expedient means of conveyance to the nearest physician,hospital,or clinic and to receive such treatment as medically prescribed by physician(s). i/we acknowledge and understand that this release applies to all my family members serving as YHPF participants and volunteers. As used in this release,the terns I,my person and myself applies regardless of the nature of my involvement with the YHPF,and whether or not 1 attend any YHPF activity,accompany a minor child, serve as a volunteer,or otherwise, and includes to the maximum extent permitted by law any minor children participating in any YHPF activity. YOUTH Street Address,City,State and Zip jignature Print Name Date PARENT/GFIARDI.A\ Street Address,City,State and Zip Signature Print Name Date I am unable to accompany my child and authorize to serve as the guardian and give them permission to seek and authorize medical treatment in the event of an emergency during the YHPF activity during the weekend of VOLUNTEER Street Address,City,State and Zip Signature Print Name Date Names amber family members that may be assisting you this weekend: