Sporting Clay Shoot Registration Form
Team Name
Contact Name (Team Captain)
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Shooter 1
*
First Name
Last Name
Shooter 1 Phone Number
*
-
Area Code
Phone Number
Shooter 2
First Name
Last Name
Shooter 2 Phone Number
-
Area Code
Phone Number
Shooter 3
First Name
Last Name
Shooter 3 Phone Number
-
Area Code
Phone Number
Shooter 4
First Name
Last Name
Shooter 4 Phone Number
-
Area Code
Phone Number
Select Division
*
Open Division
Senior Division
Women's Division
Youth Division
Select Shoot Time (Morning Shoot Times are full)
*
1:30 P.M.
Registration Package
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Sporting Clay Shoot Team Registration
$
500.00
Golf Cart Rental
$
40.00
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Submit
Should be Empty: