Backup Documents 09/23/2025 Item #16A11 16A11
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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.
** 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
1.
2.
3. County Attorney Office County Attorney Office 4)1-
4. BCC Office Board of County
Commissioners VJ 0 6110
5. Minutes and Records Clerk of Court's Office l p� 9
PRIMARY CONTACT INFORMATION 7
Normally the primary cont\t is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above may need2i Dontact staff for additional or missing information.
Name of Primary Staff Julie Motkowicz Phone Number 252-2960
Contact/Department
Agenda Date Item was September 23,2025 Agenda Item Number 16.AX 11
Approved by the BCC
Type of Document(s) Youth Hunt Memorandum of Agreement Number of Original 1
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(instead of stamp)? N/A
2. Does the docunet need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legality. (All documents to be signed by
the Chairman,with the exception of most letters,must be reviewed and signed by the J M
Office of the County Attorney.)
4. All handwritten strike-through and revisions have been initialed by the County Attorney 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
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. ..J�r�"
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is uploaded to the 1�
agenda. Some documents are time sensitive and require forwarding to Tallahassee within a ` vl
certain time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 9/23/2025 and all changes made during
the meeting have been incorporated in the attached document. The County Attorney ���
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.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05; 11/30/12;4/22/16;9/10/21
1 6 Al 1
Please scan and send a digital copy to the email below:
To: Grayson.Giles@MYFWC.com r
CC:Julie.Motkowicz@coltiercountyft.gov
16Al1
FWC Youth Hunt Agreement No. FWC 25037
MEMORANDUM OF AGREEMENT
BETWEEN
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION
AND
BOARD OF COUNTY COMMISSIONERS OF'COLLIER COUNTY o/b/o COLLIER COUNTY
FWC YOUTH HUNT AGREEMENT No. FWC 25037
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
COMMISSIONERS OF COLLIER COUNTY o/b/o COLLIER COUNTY, whose address is 3299
'T'amiami 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 ii 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 hunts are as follows:
Hunt 1: flog/Squirrel/Rabbit Dates: 1/16/2026 thru 1/18/2026
Hunt 2: "Turkey Dates: 2/27/2026 thru 3/1/2026
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 2,500 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
I-lunt 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,
including, but not limited to, the implementation of programs for public hunting and fishing by all legal
MOA-Youth Hunt(LANDOWNER) Page 1 of 5 FY 2025/2026 l-•,
16A, 11
FWC Youth Hunt Agreement No. FWC 25037
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 LANIOWNER'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 unreas6nably 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
ofAgreement, the Parties agree to be responsible for their own respective costs.
h
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
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.
MOA-Youth Hunt(LANDOWNER) Page 2 of 5 FY 2025/2026
1 6A1 1
FWC Youth Hunt Agreement No. 1"WC 25037
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,will fully,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
Julie Motkowicz Grayson Giles
BOARD OF COUNTY COMMISSIONERS 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
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;
MOA-Youth Hunt(LANDOWNER) Page 3 of 5 FY 2025/2026
16A11
FWC Youth Hunt Agreement No. FWC 25037
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 be 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 2025/2026
1 6 Al 1
FWC Youth Hunt Agreement No.FWC 25037
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
Morgan Richardson, Director(or designee)
Division of I-hunting and Game Management
Date ��'
A"ITE .• f f;,�4v`.<`', BOARD OF COUNTY COMMISSIONERS OF
CRYStAL '` " Y.44 CIs RK COLLI : COUNTY, FLO IDA
, 01 :,,,..,(t..)
Deputy C ettr' :.:Attest"a's to Chairman's Burt .. Saunders, hairman
sio '!ire only
Appr ve as to form , dllegality:
Date: 61123/25
Sally A lka
ant County Attorney
Attachments':
Youth I Iunt Announcement
Exhibit B
Map
MOA-Youth Hunt(LANDOWNER) Page 5 of 5 FY 2025/2026
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EXHIBIT B
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Pepper Ranch Preserve Legal Description
Property Tax Identification Number: 00052360002
A parcel of land lying in the East Half (E%) of the East Half (E') of the Southwest
Quarter (SW%) of the Southeast Quarter (SE'/) of Section 22. Township 46 South,
Range 28 East. Collier County, Florida, being more particularly described as follows:
Commence at the Southeast corner of Section 22, Township 46 South,
Range 28 East, Collier County. Florida; thence run S 88`57'47' W. along
the south line of the Southeast Quarter (SEY) of said Section 22 for a
distance of 1320.38 feet to the Point of Beginning of the parcel of land
herein described: thence continue S 88`57'47" W, along the south line of
the Southeast Quarter (SEY) of said Section 22, for a distance of 330.09
feet; thence run N 00`31'18" W for a distance of 1342.51 feet: thence run
N 88'58'31' E for a distance of 330.12 feet: thence run S 00-31'14' E, for
a distance of 1342.44 feet to the Point of Beginning: containing 10.17
acres, more or loss.
AND
Property Tax Identification Number: 00052440003
A parcel of land lying in the Southeast Quarter(SE%) of the Southwest Quarter (SW%)
and the West Hall (W«) of the Southwest Quarter (SW%) of the Southeast Quarter
(SE%) of Section 22, Township 46 South, Range 28 East, Collier County, Florida, being
more particularly described as follows
Commence at the Southeast corner of Section 22, Township 46 South,
Range 28 East, Collier County. Florida; thence run S 88`57'47' W, along
the south line of the Southeast Quarter (SE%) of said Section 22 for a
distance of 1980.56 to the Point of Beginning of the parcel of land herein
described, thence continue S 88'57'47" W, along the south line of the
Southeast Quarter (SE/a) of said Section 22, for a distance of 660.19 feet
to the South Quarter corner of said Section 22; thence run S 88'57'47'.W
along the south line of the southwest quarter of said Section 22, for a
distance of 1321.80 feet: thence run N 00`38'44" W for a distance of
1342.51 feet; thence run N 88`59'17" E, for a distance of 1324.63 feet,
thence run N f38 59'31" E, for a distance of 660.24 feet: thence run S
00'31'22" E for a distance of 1342.58 feet to the Point of Beginning:
containing 61 13 acres, more or less.
1 6A1 1
AND
Property Tax Identification Number: 00052680009
The Southeast Quarter (SE'/4) of the Southwest Quarter (SWY,) of Section 26,
Township 46 South, Range 28 East, Collier County, Florida; containing 40,38 acres
more or less.
AND
Properly Tax Identification Number: 00053000002
All of Section 28, Township 46 South, Range 28 East, Collier County. Florida:
containing 645.47 acres more or loss
AND
Property Tax Identification Number: 00053920001
The Northwest Quarter (NW%,) of the Northeast Quarter (NE!%) of the Northwest
Quarter (NW'•%) of Section 35, Township 46 South, Range 28 East, Collier County,
Florida; containing; 10.09 acres more or less.
AND
Property Tax Identification Number: 00052640007
A parcel of land located in a portion of Section 26, Township 46 South. Range 28 East,
Collier County, Florida, being more particularly described as follows:
The West Half (W1/2) of Section 26, Township 46 South, Range 28 East,
Collier County, Florida, less the North 1452.35 feet thereof and less the
Southeast Quarter(SEA)of the Southwest Quarter(SW'/4)of said Section
26, and less that parcel of land, as described and recorded in Official
Records Book 2585 at Page 2735 through 2737, owned by South Florida
Water Management District with Tax Folio Number 00052640007:
containing 185,91 acres, more or less.
AND
Property Tax Identification Number: 00052960004
All of Section 27. Township 46 South, Range 28 East. Collier County, F[.niila,
containing 643.59 acres more or less.
1 6A1 1
AND
Property Tax Identification Number: 00053200006
All of Section 33. Township 46 South, Range 28 East. Collier County. Florida;
containing 706.33 acres more or less.
AND
Property Tax Identification Numbers 00053840000 & 00054040003
I lit: East Half (E''.) of the East Half (E 4) of the Northwest Quarter (NW«), and the
Northeast Quarter(NEB;), less the East 30 feet and the Northerly 30 feet for public road
nght-of-way per dedication thereof recorded in Plat Book 12, Page 67 (known as
Pepper Road), Section 35, Township 46 South, Range 28 East. Public Records of
Collier County, Florida, less 2.29 acres in the Northeast Quarter (NE'/,) described in
Deed recorded in Official Records Book 1834. Page 216; also less the real property
described in Quit Claim Deed recorded in Official Records Book 49, Page 4; and in
Official Records Book 280. Page 480; and in Official Records Book 282. Page 283; and
in Official Records Book 289. Page 910: all of the Public Records of Collier County,
Florida;
AThe`a=Quthwest Quarter (SW1/4) of the Northwest Quarter (NW1/4); and the West Half
(W'/2) of the Southeast Quarter (SE'/=) of the Northwest Quarter (NW'/); and the
Southwest Quarter (SW;%s) of the Northeast Quarter (NE`/,) of the Northwest Quarter
(NW;): and the South Half (S'/21 of the Northwest Quarter (NW`/,) of the Northwest
Quarter (NW'/,); and the Northwest Quarter (NW%) of the Northwest Quarter (NW'/.)of
the Northwest Quarter(NW'i+); and the West Half(W'/�)of the Northeast Quarter(NEY;)
of the Northwest Quarter (NW%) of the Northwest Quarter (NWY) of Section 35,
Township 46 South. Range 28 East, Collier County, Florida; containing 208.83 acres,
more or less.
The aforementioned parcels equates to 2,511.90 acres, more or less.
L.,
1 6A1 1
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16Al '1
yOUiK HUNT'NG °s"Ma,
r c9 r- A \ FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION a -sue
of-: .. ,
FAf'`' Division of Hunting and Game Management—Hunter Safety Section "'
i s `t , ti- .�',„
e YOUTH HUNT ANNOUNCEMENT FORM (Exhibit A) r,,, .4Plon
co`f
DETAILS OF YOUTH HUNT
Name of Ranch/I hunting Club: Dates of Youth Ilunt:vgl,/ /z�! limergenyPhone fl During Youth llunt:
(4/; - �4/y 21z7- �i locution of Youth I tun (Nearby City(Ibnn and County—Attach Map of Property for Exhibit I)) Approximate acreage:
!?erg l� f& tit. *,5�/
land inner Court l Infomwtion(l' ANDOWNER Name.Address.Street) State Zip
�u�ie, /V w, z: ; ?Nil T(/mieur)! j 1 aft, & i � Ft. 31-11I1
Agency Representative: Agency Representatives Phone Assigned I iuntmastcr(s):
&c X G-;1k -556-1, o . �1i et, Rt161
I iuntmastcr Phone(please include area codes) -7 / J
Days livening Cell Hr1- �'L� 1U1 J
Hunt Information
Type of I hunt(deco dove,duck squirrel,quail,turkey,etc.-be specific listing sex[if applicable]and quantities desiring to be harvested.)
1/06f 1; g n41/ 00/7114,
r)141)( ZI ?lr61
Number of youi hunters supplied by laiidosiicr Number ofyouth hunters supplied by Yl IPF: Total number of youth hunters:
J
VY
hunters be camping?
es ❑ No Is there fishing access that the LANDOWNER authorizes COMMISSION to use?❑ Yes Vigo
Arc there cooking facilities that LANDOWNER authorizes Will 1 luntmaster need cooking equipment,food or help making
COMMISSION to use? ❑ Yes [ No Ifyes,please food arrangements? ❑ Yes Vigo Ifyes,please describe:
describe:
Are there lodging facilities that[ANDO�yNER authorizes Will I luntmaster need camping supplies and/or equipment from
COMMISSION to use? ❑ Yes No Ifyes.please YIIPF? ❑ Yes 'No Ifyes,please describe:
describe:
Are there game cleaning facilities that LANDOWNIi t Are there permanent hunting stands that LANDOI NRR
authorizes COMMISSION to use? ❑ Yes No If yes, authorizes COMMISSION to use? ❑ Yes V No
please describe: Ifyes,please describe:
Will I luntmaster need unting supplies and/or equipment from Youth Hunting Program of Florida
YI'Pr? ❑ Yes No If yes,please describe: do Florida Fish and Wildlife Conservation Commission
620 South Meridian Street Tallahassee,FL 32399-1600
(850)413-0084(850)413-7989(fax)
MyFWC.com
Rrr.7 29165
16A11
NT qG FLORIDA FISH AND WILDLIFE':CONSERVATION COMMISSION
YQ HUU
k Hunter Safety and`Public.Shooting Ranges,Section
„ Youth Hunting Program of Florida
UNCONDITIONAL RELEASE OF LIABILITY RISKS
I/We have knowingly and willingly entered into a YI-IPF 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 Huntmaster, 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,I/we consent to the release of those images for use by the FWC in support of YI-IPF,
In consideration for the right to participate in the YI-IPF activity,I/we unconditionally release,indemnify and hold harmless:
• (Landowner)
• Florida Fish and Wildlife Conservation Commission
• Wildlife Foundation of Florida
• Youth Hunting 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 be allowed to participate in the YHPF activity. This release is intended, and shall be construed, to exclude the released parties
from amp and all liability.
Ihve further acknowledge and understand that no warranty,either expressed or implied,is made by YIIPF as to the YIIPF 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 am/are 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 YIIPF participants and volunteers. As used in this
release,the terms I,my person and myself applies regardless of the nature of my involvement with the YHPF,and whether or not I 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
Signature Print Name Date.
PARENT/GUARDIAN
.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
StreetAddress,.City State and Zip
Signature'- • PriritNarire. Date
Names of other family members that may be assisting you this weekend:
Rev.613/2009',
16A11
Y9g-TH-Hutrntic FLORIDA FISH AND WILDLIFE.CONSERVATION COMMISSION P1.15N AN°k/
Hunter Safety and Public Shooting Ranges Section
Q Youth Bunting Program of Florida 8 ��=
43
t 4'
Marksmanship Certification °gT,oN �
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
marks' nship 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
(firearm or bow) fired at yards on
(date) and did exhibit sufficient skills to be allowed to participate
in a wild game youth hunt.
mL.
Range Coordlinator/Witness
Signature
Parent/Guardian
Signature
Participant (youth hunter)
Signature
{ c:1mydocumentchrorkjlelyhpfiformslma•ksmmnshrp cervificatron Rev.12/16/05