IRAP Landowner Enrollment Form


First Name:		*
Last Name:		*
Middle Name:
Address1:		*
Address2:
City:		*
State:
Zipcode:	-	* Zip code should be 5 or 9 Digits Zip code should be 5 or 9 Digits
Email:		Invalid email
Primary Phone Number:		*
Secondary Phone Number:

IRAP activities you are interested in registering (select all that apply):

	Activity Id	Activity Name
Select	3	Pond Fishing
Select	4	River Fishing
Select	5	Spring Youth Turkey
Select	10	Spring Turkey Hunting; Season 3
Select	11	Spring Turkey Hunting; Season 4
Select	12	Squirrel Hunting
Select	8	Youth Firearm Season Deer Hunting (Columbus Day Weekend)
Select	19	Archery Deer 1st Period (Oct 1 - 15)
Select	20	Archery Deer 2nd Period (Oct 16 - 31)
Select	21	Archery Deer 3rd Period (Dec 16 - 31)
Select	13	Rabbit Hunting
Select	14	Upland Game w/Rabbit Hunting
Select	18	Waterfowl Hunting

Provide more details about your property :

Is any of the offered property enrolled in a conservation program, such as USDA Conservation Reserve Program (CRP), Conservation Reserve Enhancement Program (CREP), Forestry Development Act (FDA), Conservation Stewardship Program (CSP) or WRE/WRP?

Yes

If yes, what is the contract number(s) and Program?

Do you have a management plan for the offered property?

Yes

If so, what agency, organization or individual wrote it?

Note : You will be contacted by the IRAP Coordinator to evaluate your property and discuss potential options available to you through IRAP. You agree to authorizes the Illinois Department of Natural Resources (IDNR) and their designee(s) ingress/egress rights to the property offered above in order to inspect and evaluate offered leased property for qualification into IRAP.
Landowner Printed Name :		*
Date:
Please make sure information is correct before hitting submit.