IRAP Landowner Enrollment Form

First Name :  
Last Name :  
Middle Name :
Address1 :  
Address2 :
City :  
State :
Zipcode : -      
Email :  
Primary Phone Number :  
Secondary Phone Number :

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

 Activity IdActivity Name
Select1Boat Access
Select2Outdoor Naturalist
Select3Pond Fishing
Select4River Fishing
Select5Youth Turkey
Select6YTH Season3
Select7YTH Season4
Select10Adult Season 3
Select11Adult Season 4
Select12Squirrel Hunting
Select13Rabbit Hunting
Select14Quail/Pheasant Hunting
Select15Dove Hunting 1st
Select16Dove Hunting 2nd
Select17Dove Hunting 3rd
Select18Waterfowl Hunting
Select19Archery Deer 1st
Select20Archery Deer 2nd

Provide more details about your property :

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

If yes, what is the contract number(s) and Program?
Do you have a management plan for the offered property?
If so, what agency, organization or individual wrote it?
Did you allow turkey hunting on this proposed leased IRAP property last spring ?
If so, how many turkeys were harvested in spring ?

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.