
				Pat Quinn, Governor

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On-Line Application

Designated Dog Training Area Permit
[ Back to Dog Training - Private Land]

Please complete the following information in full. Press the Submit button below to forward your information. Your permit takes approximately 2 weeks to process and return to you. A Mail In Application can also be completed and submitted if desired.

Please provide the following contact information:

First name		M.I.
Last name
Street address
Address (cont.)
City		State
Zip Code
Work Phone
Home Phone
E-mail

Location of Training Area ( Distance and Direction from Nearest Town):
Legal Description of Training Area (Example: SE1/4, NW1/4, SEC. 10, R14N, T8W and County Name):
Number of Acres (50 Acres Maximum):
County
Amateur or Professional Trainer:
Amateur
Professional

Landowner Name:

First name
Last name
Street address
Address (cont.)
City
State		Zip Code
Home Phone

Breed(s) of Dog(s) Trained:
Species of Bird(s) Utilized:
Is a Quail Call Back Device Used?:
Yes No
Please list either your Customer Number or Game Breeding and Hunting Preserve Area License Number: