TREE STAND SAFETY QUESTIONNAIRE

Please complete the questionnaire and submit.  Thank You.  Name: State:: Phone #: Zip Code: Street Address: Email Address: City:     1.) Are you a Pope and Young Club member?     Yes No 2.) If yes to question #1, pick one          (Associate / Regular / Senior) Associate Regular Senior 3.) Have you ever fallen from a tree stand?     Yes No 4.) Have you ever had a “close call” where you almost fell?     Yes No 5.) If you have had a tree stand fall or “close call” did it occur within the past 5 years? n/a Yes No 6.) Which of the following safety practices will you use this hunting season:    (you may choose more than one answer)     View any elevated stand as inherently dangerous and treat with caution   Always wear an approved safety harness   Never attempt climbs beyond my capabilities   Use ground blinds when hunting from a tree stand might be unsafe   None of the above             What else will you be doing to hunt safer and smarter this fall (250 words or less)?

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