Each participant must complete this
form, and
sign a release. The questions about gender and age are solely
for the purpose of classification.
NAME: ___________________________________________________________(first member listed is team leader)
ADDRESS: _________________________________________________________
CITY/STATE: __________________________________________ ZIP:_________
PHONE: (DAY/WRK) ________________________ (EVE): ____________________
E-MAIL: ____________________________________________________________
ARE YOU UNDER AGE 18? _____ YES ____NO FEMALE? _____ YES _____NO
DO YOU PLAN TO SHOOT SATURDAY? _____YES _____ NO SUNDAY _____ YES_____ NO
Select the events you wish to shoot and write in the number of times you want to shoot each event. Ex. Trap 2, Pistol 1, etc. You can change your mind the day of the event. This is only for determining pre-registration fees. You must select at least 4 different events to compete as team or for individual top gun awards.
TRAP ______ PISTOL ________ RIFLE _________
WOBBLE______ ARCHERY_______ DOUBLES_________
SKEET_______ TEAM FEE: __________ (Only required on team leader registration)
Team Leader ____Yes ____ No Team shooting position 1 2 3 4 5
Add up the numbers and multiply by $5.00. This is your pre-registration fee. Only team leader registration needs to include the $5.00 team entry fee. Minimum amount needed to register a 5 man team is $105.00. Each team member is required to shoot at least 4 of 8 events.
Make check payable to: HUNT OF A LIFETIME FOUNDATION
Mail to: Hunt of a Lifetime Foundation
Jon De Lorenzo
604 Mc Creery
La Junta, Co 81050
TEAM NAME: ____________________________________ ( Only needed for first team member.)
TEAM SPONSOR: ____________________________________
ADDRESS: ____________________________________
CITY,STATE,ZIP: ____________________________________
PHONE: ____________________________________