Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

I have harvested a Maryland: *

White-Tailed Deer

Sika Deer

Black Bear

Weapon Used: *

Firearm

Muzzleloader

Bow

Crossbow

Date of Kill *

MM

DD

YYYY

This animal was NOT taken by hunting, e.g. picked up while shed hunting or road kill.

Yes, this animal was NOT taken by hunting.

I understand if my animal qualifies, there will be a $25 entry fee. A fee reduction may apply for special events/youth category. *

Agree

By checking this, I affirm that I have not been convicted of any Maryland Natural Resources Violation in the last 5 years. *

Agree