
Sporting Clays for a Cause
Individual and Team Registration
Each shooter must complete both the Registration Form and a Release of Liability Form before participating in this event. Both forms are available from:
John Moyer jlm6200@verizon.net or 325-248-8866
For Registration Information and to get signed up contact
Kim Wagner, 325-248-8029, kandkwagner@yahoo.com
Registration is open until all slots are filled and we are expecting an early sell out. Please contact Kim ASAP to reserve your spot.
You may enter a team of 4 shooters or as an individual. Registration Fee is $150 per shooter or $600 per team of 4.
If you want to register and shoot with 1 or 2 friends please let Kim know ASAP and he will work to put you together on the same team where possible.”
"All contestants are required to use an ATV to navigate the course."
No Rental ATV's will be available this year.
Sporting Clays for a Cause
Registration Form
The Clays competion will be organized into a maximum of 4 shooters per team. On this form, you may enter as a team of 4 , as an individual, or as 2 to 3 individuals who wish to shoot together.
1. Registrants (Please complete all information for each person you are registering). Entrants 18 and under must have parent/guardian sign Release of Liability Form and attach to this Registration Form.
Name ________________________ Cell______________email__________________
Name_________________________Cell______________email__________________
Name_________________________Cell______________email__________________
Name_________________________Cell______________email__________________
2. If entering as a team of 4 (4 shooters per team max), please enter the following:
Team Name______________________________________
Team Captain ____________________________________
3. Payment Summary
_______Entry/Entries $ 150 ea $________
Total Enclosed $________
Return this form with payment
and
Signed Clays Waiver form for each entrant to:
Llano Lions Club - Registrations
P.O. Box 12
Llano, Tx 78643
www.llanolionsclubsportingclays.com