Wave Outdoor Adventures Form

Name:*
Date of Birth:*
Employer*
Veterans: Dates of Service
Primary Contact Number:*
Secondary Contact Number:
Address:*
Email:*
Have you ever been convicted of a misdemeanor or a felony?*
- Yes
- No
If yes, please provide: Crime convicted of, Date of conviction, Disposition (court findings), and are you currently under probation?
Is there a court order currently against you prohibiting you from owning or being in the near proximity of firearms?*
- Yes
- No
Spouse's Name:
Special Needs:
Personal Notes/Comments: