2020-2021 Virginia State Big Game Contest Registration Form Register Your Trophy for the 2020-2021 season What Trophy Are You Registering?*DeerBearTurkeyEntrant InformaitonFirst Name*Middle InitialLast Name*Email* Home PhoneCell PhoneCurrent Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trophy InformationConfirmation NumberThis will be used to verify the trophy was killed in the correct year (2020-2021)Big Game Check Card NumberIf you tagged the entry with check tag, please enter the 6 digit numberCounty Of Kill*Select CountyAccomackAlbemarleAlleghanyAmeliaAmherst - EAST of Rt. 29Amherst - WEST of Rt. 29AppomattoxArlingtonAugustaBathBedfordBlandBotetourtBrunswickBuchananBuckinghamCampbell - EAST of Norfolk Southern RailroadCampbell - WEST of Norfolk Southern RailroadCarolineCarrollCharles CityCharlotteChesterfieldClarkeCraigCulpeperCumberlandDickensonDinwiddieEssexFairfaxFauquierFloydFluvannaFranklinFrederickGilesGloucesterGoochlandGraysonGreeneGreensvilleHalifaxHanoverHenricoHenryHighlandIsle of WightJames CityKing & QueenKing GeorgeKing WilliamLancasterLeeLoudounLouisaLunenburgMadisonMathewsMecklenburgMiddlesexMontgomeryNelson - EAST of Rt. 151Nelson - WEST of Rt. 151New KentNorthamptonNorthumberlandNottowayOrangePagePatrickPittsylvania - EAST of Norfolk Southern RailroadPittsylvania - WEST of Norfolk Southern RailroadPowhatanPrince EdwardPrince GeorgePrince WilliamPulaskiRappanhannockRichmondRoanokeRockbridgeRockinghamRussellScottShenandoahSmythSouthamptonSpotsylvaniaStaffordSurrySussexTazewellWarrenWashingtonWestmorelandWiseWytheYorkAlexandria (City of)Bedford (Town)Bristol (City of)Buena Vista (City of)Charlottesville (City of)Chesapeake (City of)Clifton Forge (City of)Colonial Heights (City of)Covington (City of)Danville (City of)Emporia (City of)Fairfax (City of)Falls Church (City of)Franklin (City of)Fredericksburg (City of)Galax (City of)Hampton (City of)Harrisonburg (City of)Hopewell (City of)Lexington (City of)Lynchburg (City of)Manassas (City of)Manassas Park (City of)Martinsville (City of)Newport News (City of)Norfolk (City of)Norton (City of)Petersburg ( City of)Poquoson (City of)Portsmouth (City of)Radford (City of)Richmond (City of)Roanoke (City of)Salem (City of)South Boston (City of)Staunton (City of)Suffolk (City of)Virginia Beach (City of)Waynesboro (City of)Williamsburg (City of)Winchester (City of)Date Of Kill* Date Format: MM slash DD slash YYYY Season Classification*2020-2021 SeasonHistoricalWeapon Used (Choose One)*RifleShotgunMuzzleloaderBowCrossbowPistolNote: crossbow & pistol entries fall under Rifle/ Shotgun categorySignature of EntrantI certify that the trophy entered was not taken in UNFAIR CHASE as defined in the Contest Rules.Signature of Entrant I agree Date Date Format: MM slash DD slash YYYY I certify that the trophy entered was not taken in UNFAIR CHASE as defined below in the Contest Rules. I further certify that my entry was taken in full compliance with all local game laws or regulations of the state of Virginia and I will not hold the Virginia Peninsula Sportsmen’s Association, Inc. (V.P.S.A.), The Eastern Regional Contest, State Contest, or The Virginia Department of Game and Inland Fisheries responsible for my entry. I have read and agree to abide by the contest rules and that all information submitted is true and correct to the best of my knowledge. CONTEST RULES 1. The Virginia State Big Game Contest is a state sponsored event. Any attempt to enter an illegally taken or altered trophy will constitute fraud and result in the disqualification of your entry and loss of all awards associated with this contest. Further, you will be subject to having criminal charges brought against you. 2. Entry must have been harvested during the last Virginia Hunting Season. 3. Entry must have been harvested in the Eastern Region. For determining Regions, the East-West dividing line will follow in the East-West Deer Season line in effect the year the entry was harvested. 4. Entries must be registered by 5:00 p.m. on the opening day of the contest. Any exceptions must be submitted to the VPSA Committee for authorization. 5. Each type of trophy must include the following: Deer - a mounted head or a rack of antlers attached to the skull. Bear - the complete skull. Turkey - the beard, both feet with spurs attached and the Virginia Weight Certificate must be presented. 6. An entry is eligible to compete in one class only. 7. An entry must be accompanied with the Game Tag used to register that trophy with the Virginia Department of Game and Inland Fisheries. 8. Scoring will be in compliance with the Virginia Scoring System and all decisions of the judges will be final. 9. All entries must remain on display for the duration of the contest. Failure to comply will disqualify your entry regardless of the reason. 10. Trophy animals taken on crop damage permits other than D.M.A.P. or D.C.A.P. permits are ineligible to compete. 11. Trophy animals obtained only by FAIR CHASE may be entered in the contest. A trophy obtained by the following methods shall be deemed UNFAIR CHASE and unsportsmanlike and is disqualified from entry: A. Spotlighting, jacklighting or baiting. B. Herding or pursuing game with motor-powered vehicles; C. Spotting or herding game from the air, followed by landing in its vicinity for pursuit, or D. Use of electronic communications for attracting, locating or observing game, or guiding the hunter to such game. Youth Entries OnlyThis is to certify I was less than 16 years of age prior to the date this trophy was taken.Signature of Entrant - Youth Entries I Agree Date Of Birth* Date Format: MM slash DD slash YYYY VPSA Members OnlyThis is to certify that I was a member of the VPSA prior to the date this trophy was taken.Signature of Entrant - VPSA Member I Agree CAPTCHACommentsThis field is for validation purposes and should be left unchanged.