OPERATION REBOOT ICE FISHING MISSION APPLICATION FORM

PLEASE SUBMIT THIS FORM TO BE PUT IN FOR THE OPERATION REBOOT ICE FISHING MISSION. ALL FIELDS ARE REQUIRED. IF SELECTED, YOU WILL BE CONTACTED.

*IF SELECTED, ANY UNAPPROVED DROP OUTS WILL BE PLACED ON A 3 YEAR PROBATION FROM PARTICIPATING IN ANY OF OUR FUTURE MISSIONS.

Name

First Name

Last Name

Phone

(###)

###

####

Location your will be traveling from

Brief description of your service

Have you ever ice fished before? What is your experience?

Are you affiliated with any other organization? If yes, what organization? What events have you participated in?

If selected, participant will be responsible for travel and purchasing of required licenses. Are you willing to meet these requirements?

Yes

If selected NO, please give brief reasoning