(rev 12:15)
    ​SP-104
                     
    ​                                                                                       
                                                                                                                                                       
    STATE OF IDAHO
    DEPARTMENT OF FISH AND GAME
    Application for License to Release Wildlife
       
    ​    In conformance with Idaho Code, Chapter 7, and the powers vested in the Fish and Game Commission, IDAPA 13.01.10, permission is requested to release wildlife into Idaho.

    Applicant:
    Name and mailing address of owner(s) of wildlife, if not Applicant:

    The Gamebird Foundation, Inc
    1008 Main St, Viola ID, 83872
    (208) 883-3423

    Veterinarian of record for facility or animals: Little Canyon Sporting Reserve
    009992
    ________
    Permit No.
    The Gamebird Foundation, Inc