PayPal Clay Shoot Payment Form

Sporting Clay Shoot Fundraiser Payment Form

Thank you for signing up to participate in this year's Clay Shoot benefitting New Hope Equine Assisted Therapy.
Full Name*

First NameLast Name
E-mail*
example@example.com
Contact Type
Email Group
Preferred Phone*

HomeWorkMobile
Mobile Phone*
Required for contact on day of the event
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
All Sponsorships (except stand-alone Station Sponsor) includes web page promotion with your logo and a link to your website.

Browse Files
Upload your company logo here or email to kbeisly@NewHopeEquine.com Cancelof
For Sponsorships only, enter your website URL
Comments

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If you chose other, please tell us how you heard about New Hope?

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Photo/Media Release

1) New Hope Equine Assisted Therapy may use my, my minor child’s, or my ward’s photograph or image in its print, online and video publications;

2) I release of New Hope Equine Assisted Therapy, its employees and any outside third parties from all liabilities or claims that I might assert in connection with the above-described activities and

3) I waive any right to inspect, approve or receive compensation for any materials or communications, including photographs, videotapes, DVDs, website images or written materials, incorporating photos/images of me, my minor child, my ward.
Choose from these options: Consent - I hereby consent to and authorize the following or Non-consent - I do not consent to, nor do I authorize*
Photo/Media Release Signature*

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Date - Photo/Media Release*

MonthDayYear
Date
You will be directed to PayPal in a few seconds after clicking "Submit", please complete all required information in PayPal.
My Products
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Presenting Sponsorship$5,000.00
Naming rights to the event. Includes two paid 4-person teams and carts, one shooting station sponsored with signage, webpage promotion and a banner at the clubhouse.

Buckle Sponsorship$2,000.00
Included one paid 4-person team, cart and one shooting station sign.

Silver Sponsorship$2,500.00
Includes one paid 4-person team, cart and event banner placement.

Cart Sponsorship$1,500.00
Included one paid 4-person team, cart and one shooting station sign.

Youth Team Sponsorship$1,000.00
Includes one 4-person team of youth shooters to participate in the event, covers entry, cart, ammunition and lunch, plus shooting station sign.

Station Sponsorship$350.00
Includes a station sign with your company logo at the event

4-Person Team Registration w/ cart$600.00
Includes one 4-seat golf cart

4-Person Team Registration / no cart$500.00
Must bring your own golf cart / UTV for this discounted entry fee.

Individual Registration$175.00
Tournament Director will assign you to a team. Select more than one to pay for other individuals that will be joining you.

Number of Individuals

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Sporting Clay Shoot Fundraiser Payment Form