To whom it may concern,
For the purpose of vermin control, I grant: ###########
Permission to shoot with an air rifle, also flush and retrieve using trained dog on the following land:
###############
Edit this above as needed
######### may have a single person (to be nominated by himself) to
Accompany him for assistance in clearing the land of vermin at night using lamps and during early / late daylight hours when no patrons are in the close vicinity.
The nominated person can only shoot on the land mentioned while in the company of ###########
The shooter/ shooters will