dallas county 4h invitational shoot 2015 with map and waiver
DESCRIPTION
Dallas County 4H Invitational Shoot Registration and MapTRANSCRIPT
Shooting Agreement & Waiver of Liability: Please fill out and return the Shooting agreement and Waiver of Liability form and return
Saturday May 9 2015
Maximum 90 shooters allowed - Pre-Registration Required.
Deadline for entries is Friday April 17, 2015. May extend shooter number if max reached by April 3.
• Location: Ellis County Sportsman Club (DeSoto Gun Club) "##$%&&'''()*+,#,-./01.2#3(0,4
• Registration will start at 7:30 am, Safety at 8:15 am and shooting will start at 8:45 am.
• Whiz-bang qualification provided by TPWD!
• All ties will be broken by shoot offs.
Registration Form SHOOTER INFORMATION (Please print clearly)
Last Name: ___________________________ First: __________________ Middle: ________________
T-shirt Size: ___Youth ___ Adult ___Small ___Medium ___Large ___XL ___XXL
Entries received after April 13th may not be eligible to receive a t-shirt.
Lunch Included!!
Shooter’s lunch is included in registration fees. Lunch & concessions will be available for purchase at
the field. Purchases will be cash only.
Squads: If you would like to be in a squad with someone, please send applications together. We will
try to accommodate your request.
Name: ___________________________________ County: ___________________________
Name: ___________________________________ County: ___________________________
REQUEST for PULLER and SCORER assistance: Volunteers are needed to assist in pulling and scoring
throughout the day. These are not lengthy assignments, one or two rounds. PLEASE PITCH IN AND
SUPPORT OUR YOUTH!
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Shooting Agreement & Waiver of Liability: Please fill out and return the Shooting agreement and Waiver of Liability form and return
NOVICE SHOOTERS ONLY: Please check if applicable:
______:Novice - Participating as a Novice is optional for any shooter. Novice classes will be Junior (age 13 and
under) and Senior (age 14 and over). A Novice for this tournament is considered to be any shooter who is in their
first year of 4-H shooting (2014-2015 season) and has not shot more than 300 4-H targets in 4-H tournaments.
_____ Junior (8 to 13) _____ Senior (14 to 18)
_____ Trap & Skeet Package (25 Targets each) - $40
Total: $______
All Other Shooters check one class: (Age As of 8/31/2014)
_____ Junior (8 to 10) _____ Intermediate (11 to 13) _____ Senior I (14-15) _____ Senior II (16-18)
Pick Your Games:
_____ Trap, Skeet, 5-Stand, Sporting Clays Package- $140 (50 Targets each)
_____ Trap and Skeet Package - $75
(50 Targets each)
Total: $______
Adult Shooters: Parents have the option to participate with their child in the sporting clay event. Adult registration fee will be $40. Adults who register to shoot will receive a lunch ticket. Only register once.
Name of Shooter(s): __________________________________________________________
Payment Information:
(Make checks payable to Dallas 4-H Shooting Sports)
Late Fee: A $20 late fee will apply for all registrations received after APRIL 27TH
Check Number: ____________________ Total Check Amount: _________________
Mail in registration with check to: Dallas 4-H Shooting Sports
Attn: Todd Viegut/Tamra McGaughy
Registration can also be faxed to 214/904-3080 or e-mail to [email protected] but will not be
processed until payment is received.
Event Address: 470 W Sterrett Rd, Waxahachie, Texas 75167
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