Fish & Wildlife Department
Hunter Education Program [phone] 802-828-1193 Agency Of Natural Resources
1 National Life Drive, Davis 2 [fax] 802-828-1250
Montpelier VT 05620 [tdd] 802-828-3345
www.vtfishandwildlife.com
Conserving fish, wildlife, plants, and their habitats for the people of Vermont.
Updated 06-20-2016
Parental Consent Form
Directions: All students under 16 years of age are required to bring a completed, signed parental consent form
to their hunter education class. Please present this form to your instructor at the start of class.
I, ______________________________________________________, the legal parent/guardian of
___________________________________, give consent to attend the Vermont Hunter Education course.
I understand that participation in this program may expose my child or ward to the many risks associated with
learning to hunt. I understand that the activities will include but not be limited to, risks associated with
outdoor recreation; handling firearms and bows and arrows, and target shooting. I expressly assume these and
all other risks associated with the Hunter Education Course. I hereby release and forever discharge, the State
of Vermont, the Department, its agents, employees, volunteers, and other officers, from all actions, causes of
action, damage claims, demands or judgments, which my child, I, our heirs, executors, administrators, or
assigns may have against the Department, its agents, employees and other officers, for all injuries, of whatever
nature, including injuries to property, caused by or arising out of, the above described program. I also
understand that course instructors shall make the final decision as to whether a student is qualified to receive a
hunter education certificate, based on standards established by the Vermont Fish & Wildlife Hunter Education
Program.
Student’s name (please print): ____________________________________________________________
Student’s signature:____________________________________________________________________
Name of parent/guardian (please print): ____________________________________________________
Signature of parent/guardian: _____________________________________________________________
Instructor Name___________________________________ Course Location (town)_________________
Course date(s)_________________________________________________________________________
Photo Release Consent
The Fish & Wildlife Department and its volunteers sometimes take photographs of hunter education class
activities. These photographs may be used for educational purposes and/or to inform others about the program.
They may appear on Department Facebook pages, the Department website, or our Law Digest.
I hereby authorize the photographing of my child, ______________________________________ (name)
while participating in Hunter Education Program activities, which can be used for educational or promotional
purposes. I understand that I have the right to request removal of specific photographs containing images of
me and/or my child so that they will not appear on the web page and will not be available for downloading.
Student’s name (please print): ____________________________________________________________
Student’s signature:____________________________________________________________________
Name of parent/guardian (please print): ____________________________________________________
Signature of parent/guardian: _____________________________________________________________