Bill Kron's RENTTOHUNT.COM hunting application 294-230th Street PO BOX 148 West Branch, Iowa 52358 319-643-2654 319-430-8220 cell phone EMAIL: BillKron@Lcom.net NAME______________________________________________________________ (First) (Middle Initial) (Last) Occupation__________________________________________________________ LEGAL RES.____________________________________________________________ CITY________________________STATE__________________ZIP_____________ PHONE NO.(____)____________________COUNTY OF_____________________ RESIDENCE_______________________________________________________ AGE______HAIR COLOR__________EYE__________________ WEIGHT______________HEIGHT____________________ DATE OF BIRTH___________CORRECTIVE LENS REQUIRED(yes or no)__________ PLACE OF BIRTH_______________________________________ RESIDENCE SINCE______________________________________ Are you willing to harvest an antlerless(doe) deer in addition to your harvest of an antlered buck deer?______________________ Are you willing to sign a liability waiver?(yes or no)_________________ Are you willing to purchase a separate hunting liability insurance policy, naming The Cedar County Historical Society as also insured and provide us with a copy? (yes or no)_________________________