HARVEST REPORT FORM
                                                                              2009 ONLY***


NAME: _________________________________________________________________________
ADDRESS:  _____________________________________________________________________
PHONE ________________________________________________________________________
TYPE OF GAME

Deer              Elk             Moose            Goat             Sheep            Bear                Cougar
Antelope       Caribou      Other:__________________________________________________

SEX:             Male              Female
WEIGHT: __________
NO. OF POINTS: Right ___________ Left ___________Width ___________Height _____________
METHOD OF HARVEST: ___________________________________________________________
DATE OF HARVEST: ___________________ STATE OF HARVEST__________________________
COUNTY OF HARVEST: ________________ LOCATION: _________________________________
IS THIS A STATE OR POPE & YOUNG RECORD? _______________________________________

Have you received a Colyak Big Game Trophy in the past?               Yes              No
Have you received a trophy for this species before?                           Yes              No

NOTE: You have to be a paid member for the year of harvest.  Trophies are only given for the current
hunting season. A report must be turned in to the Hunting Vice-President at least three months prior
to the club picnic.

Please include a short story of your hunt and a photo. Was it snowing? Who was with you?
Was it a guided hunt? What were the hunting conditions? Is there anything interesting?
What type of equipment were you using   ______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNED: __________________________                             DATE: ___________________________

Mail the completed form to:

COLYAK BOWHUNTERS
PO Box 6344
Kennewick, WA 99336


Remarks: ______________________________________________________________________