Bridger Wilderness Recreational Livestock Permit Application

Name: __________________________________

Mailing Address: _____________________________

Mailing City: ______________ State: __________ Zip: _____

Phone (Day) __________

Total Number in Group (Max 15): ___________________________

Total numbers and kind of livestock: __________________________________

____________________________________________________________________

_____________________________________________________________________

Itinerary

Our group will enter the Bridger Wilderness at:

_______________________________________ trailhead on

______________________________________________________

Our group will exit the Bridger Wilderness at:

_______________________________________ trailhead on

______________________________________________________

Complete this section only if your group will be using 10 head of livestock or more. You must indicate a 1st choice and 2nd choice campsite location for each night of your visit. Your 1st and 2nd choice camp locations must be at least 1 mile apart.
DATE	1st CHOICE CAMPSITE LOCATION	2nd CHOICE CAMPSITE LOCATION
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________
_____	_______________________________	_______________________________

Print and fill out this form completely, then return to:

Pinedale Ranger District
29 East Fremont Lake Rd.
P.O. Box 220
Pinedale, Wy 82941
307-367-4326
Fax: 307-367-5750