Hunting Application Form

First Name* (as it appears in your passport)

Last Name* (as it appears in your passport)

Street Address*

City*

State

Zip Code*

Country*

Home Phone

Cell Phone

Email

Citizenship*

Passport Number*

Issued At*

Issued On* (mm/dd/yyyy)

Expiration Date* (mm/dd/yyyy)

Place of Birth*

Date of Birth* (mm/dd/yyyy)

1. Guest First and Last Name

Guest Age and Relationship

2. Guest First and Last Name

Guest Age and Relationship

3. Guest First and Last Name

Guest Age and Relationship

4. Guest First and Last Name

Guest Age and Relationship

Approximate Safari Dates (mm/dd/yyyy to mm/dd/yyyy)

Approximate Number of Hunting Days

Rifle or Bow Hunt

Will you be renting firearm(s) from us?

It is necessary for us to apply for your hunting permit well before the commencement of your hunting safari, please indicate by filling out with a "Y" for Yes next to any and all species that you may be interested in hunting. It in no way obligates you to take each of them but that species needs to be on your permit prior to being taken in order to be exported.

Some species may not be able to be imported back into your country of residence or whatever country you intend on importing your trophies into. You can find information on the importation of sport hunted trophies for the United States at the U.S. Fish & Wildlife Service at http://www.fws.gov/permits/ or the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) at http://www.cites.org/. For other countries' importation regulations please refer to their appropriate agencies.

* these species require a predator trophy hunting permit
** these species require prior documentation

FREE RANGE Species

Greater Kudu

Oryx/Gemsbok

Red Hartebeest

Giraffe

Hartmann’s Mountain Zebra

Warthog

Springbok

Grey Duiker

Steenbok

Damara Dik-Dik

Klipspringer

Leopard *

Cheetah *

Caracal

Serval

African Wildcat **

Black-Backed Jackal

Brown Hyena **

Aardwolf **

Bat-Eared Fox **

Honey Badger **

Genet **

African Porcupine

Chacma Baboon

List Any Other Species

GAME FENCED AREA Species

Cape Eland

Blue Wildebeest

Black Wildebeest

Waterbuck

Blesbok

Impala

Excursion Yes/No

Excursion Destination(s)

Approximate Excursion Dates (mm/dd/yyyy to mm/dd/yyyy)

Approximate Number of Excursion Days

Please indicate if you have any medical or health conditions we should know about.

How did you hear about Westfalen Hunting Safaris?

Why did you choose to book with Westfalen Hunting Safaris?

Drink Preferences

Because we are in a remote location planning is imperative. To accommodate your individual tastes and preferences would you please take a moment to let us know what you enjoy so we can make an effort to have it in good supply for your safari. Thank you for your time.

What do you like to drink? Please indicate below all beverages that you are interested in drinking by indicating approximate quantity of daily consumption.

Please indicate which members of your group are represented on this food and drink preferences list other than yourself.

Do you drink alcohol?

Carbonated Drinks -
Coke, Diet Coke, Coke Zero, Orange Fanta, Sprite, Tonic, Soda Water, Ginger Ale, Lemonade

Juices -
Fruit Tree bottle (Orange, Guava, Peach), Ligui Fruit box (Grape, Mixed Fruit, Apple)

Fresh Squeezed Juices in Season -
Orange, Grapefruit, Lemonade from Fresh Lemons

Coffee, Tea and Milk -
Coffee, Tea, Cocoa, Milk

Water -
Still (without bubbles), Sparkling (with bubbles)

Beer -
Premium Lager, Lager, Light

Champagne -
Brut Champagne

White Wine -
Chardonnay, Riesling, Sauvignon Blanc/Semillion Blend

Red Wine -
Cabernet Sauvignon, Shiraz, Pinotage, Cab/Shiraz/Merlot Blend

Spirits -
Absolute Vodka, Pushkin Vodka, Smirnoff Vodka, Gordon’s Gin, Gilby Gin, Glenfiddich Scotch Whiskey, Jack Daniel’s Whiskey, J&B Scotch Whiskey, Scottish Leader Whiskey, Captain Morgan Rum, Klipdrift Brandy, Wellington VO Brandy, Richelieu Brandy, KWV 10 Year Cognac, Old Brown Sherry, Amarula, Tequila Sauza Requila Silver, Jagermeister

Food Preferences

Do you have any food allergies we should be aware of, such as to nuts, dairy, eggs, shell fish, etc?

Do you have any special dietary requirements due to medical conditions, such as diabetes, that we should be aware of?

Do you take any medications that conflict with certain foods or drinks?

Do you adhere to a particular diet for personal or religious reasons such as a vegetarian diet or other?

Are they any particular food items that you do not eat?

We will make every effort to have your food and drink preferences available for your safari, however we can not guarantee availability of any particular item.

Please click on the Submit button to send this Hunting Application Form to Westfalen Hunting Safaris so that we may apply for your hunting license and hunting permit. After you click Submit you will be returned to the home page of this website. We will confirm with you reception of this form within the next couple of days. Thank you.

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