Charlie Hartley Memorial Double Rise Shoot
Whakatane Clay Target Club
This shoot will be held at the club on the 30th November 2025.
Please be aware (if you have just come to check out the form and not actually enter) this event is limited to 8 squads. If our limit is met entries will no longer be accepted and you will need to contact the club on our email whakataneclaytargetclub@gmail.com and go on a waiting list if we have any cancellations.
Name
*
First Name
Last Name
NZCTA number
*
Email
*
Phone Number
*
Are you a current NZCTA Range Officer
*
Yes
No
Do you have a current Firearms License
*
Yes
No
If you do not have a firearms license, you must have a supervisor. Please provide your supervisors name here.
Grade
*
A
B
C
Entry - Please select all that apply
*
Entry - $135
Lunch - $15
Total to Pay
Submit
Should be Empty: