Ben Avery Claybusters Form

Ben Avery Clay Busters Registration Form

Fall 2022 League Registration
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sex

MaleFemale
Phone Number*
Please enter a valid phone number.
Choose your Sport*
Trap Time

5:005:406:207:00
Skeet PM Time

5:006:007:00 (only for full team, 5 shooters)AM TBD
Sporting Clays - European Start (start when your team is ready)

AM Sporting Clays 7:00 - 11:30PM Sporting Clays 3:30 - 7:00 or dark, which ever is first.
Add a second Sport
Team Name
Team members
Please type a comma (,) between names
If Second Sport - Please enter the Sport, Time, Team Name, Team Members below.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
If Shooter is a Minor (under 18), type Parent/Guardian name in the field below. By typing your name in this field, you are ackknowledging approval. In addition, all minors must have a parent or guardian present during all league competitions.
blank .
Type your name to acknowledge virtual signature.*

My Products

Trap

Enter description

$55.00 Quantity

Sporting Clays

$55.00 Quantity

Skeet

$55.00 Quantity

Second Sport

$10.00 Quantity

ATA Trap Registered Targets

If chosen - Must provide ATA number

$5.00 Quantity

Skeet Registered Targets

IF chosen - must provide NSSA/ASSA number

$25.00 Quantity

Sporting Clays Registered Targets

If chosen, must enter NSCA/ASCA number below

$32.00 Quantity

Total

$0.00

Ben Avery Clay Busters Registration Form