Prospective Athlete Survey

Prospective Athlete Survey

Keller Clay Target Team
Prospective Athlete Survey

Please complete the survey below to indicate your athlete's interest in joining the Keller Clay Target Team for the upcoming season and to initiate contact with a coach and the team.
Name of Athlete*

First NameLast Name
Name of Parent Contact*

First NameLast Name
Athlete Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Referred by
Athlete Phone Number*

Area CodePhone Number
Parent 1 Phone Number*

Area CodePhone Number
Parent 2 Phone Number

Area CodePhone Number
Athlete Email*
example@example.com
Parent 1 Email*
example@example.com
Parent 2 Email
example@example.com
Athlete Date of Birth*

MonthDayYear
Date
Gender*
Name of School*
If homeschooled, please type "homeschooled" in the field.
What grade is your athlete?*

6th7th8th9th10th11th12thCollegiate
What program do you feel is best for your athlete?

CompetitiveRecreational
PROGRAM DESCRIPTION:
- COMPETITIVE attendance for practices and tournaments is mandatory, and must maintain attendance of at least 70%. Athlete selection to tournaments is reciprocal to practice attendance.
If you have shot competitively before, how many years have you shot competitively?*
COMPETITIVELY means shooting under a governing body registration such as SCTP, ATA, NSCA, AIM, FHA, 4H, etc.
If COMPETITIVELY, select all the governing bodies that you have shot under:

None yet, this is my 1st time.SCTPUSAYESSATA/AIMNSCANSSA4HFHAOther
Please describe your athlete's experience with shotgun shooting sports.*
Please describe any parental certifications, affiliations, or resources that may benefit the team.
Please check YES if your athlete has any visual, hearing, or mobility impairments that need to be discussed with a coach.

YES
After you submit this form, these are next steps:

Keller Clay Target Team: Upcoming Season Roster and Events

New Athletes & Parents Information Meeting -
📅 Date: August 6th, 2025
🕒 Time: 6:30 PM - 8:00 PM
📍 Location: Cabela's Conference Room, 12901 Cabela Dr., Ft. Worth, TX 76177

Prospective Members Safety Training Event
📅 Date: August 16th, 2025
🕒 Time: 9:00 AM - 4:00 PM
👧👦 Open to boys & girls, ages 11-17, in Keller ISD (including home-schooled athletes).

Event Locations:

Morning Session: Classroom training at Cabela's Fort Worth (Conference Room), 12901 Cabela Dr, Fort Worth, TX 76177
Afternoon Session: Practical shooting at Northlake Shooting Sports, 13055 Cleveland Gibbs Rd, Northlake, TX 76262
Details:
- Required: Safety gear, shotgun, and ammunition (details provided in the event briefing)
- Cost: $75 (includes course materials, range fees, and clay targets; excludes ammunition)
  Note: A parent must accompany their athlete. No drop-offs allowed. Limited spots available - sign up early!
- Contact: Jared Ambrogi, Head Coach - coach@kellerclayteam.com
- For more information, visit our Team Website: https://kellerclayteam.com/
The Keller Clay Target Team does not discriminate on the basis of race, color, national origin, religion, sex, or disability in providing educational services, activities, and programs, including athletic programs in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Education Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended; and Title II of the Americans with Disabilities Act.

Inquiries related to the policies of Keller Clay Target Team should be directed to the organization President, at (940) 391-6521.
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