Taylor County 4-H Whiz Bang Qualifier Saturday April 26, 2014 Orientation begins at 8:30am Shoot begins

at 9:00am
Limited to first 60 entries. Please complete registration form and return with your complete registration fee and release form by the deadline of April 11, 2014. Please print legibly. Thank you! Name: __________________________________ County: _________________________________ DOB: ________________________ Age as of August 31, 2013: ____________ Male Female
(Circle One)

Address: _________________________________________________ City/State/Zip:_____________________________________________ Phone Number: ______________________

Email: ________________________________

Class (Check One) _____ Junior (age 9-10) _____ Intermediate (age 11-13) _____ Senior I (age 14-15) _____ Senior II (age 16-18)

Limited to the first 60 shooters! 50 Trap, 50 Whiz Bang, 50 Skeet Total Registration fee: $85.00
Make Checks payable to Taylor County 4H Shotgun Sports

Shoot will be located at ABILENE SPORTING CLAYS 1102 Beltway South

**Prizes will be awarded to the top FIVE places in each age category. ** BBQ Lunch is being catered and donated by The Shed. Lunch will be free to all shooters and available at a cost to all others.

Mail Registration form, Release form and $85.00 Registration Fee to:
Abilene Sporting Clays Attn: Colby Caton 1102 Beltway South Abilene, TX 79606 E-mail any questions to kwilsonnp@yahoo.com

Taylor County 4-H Whiz Bang Qualifier

MINORS RELEASE FORM We do hereby consent and agree that it is satisfactory for our minor son or daughter, __________________________________ to compete in Taylor County 4-H Shooting Sports Activities. Furthermore, we do not hold any members and/or leaders of the Taylor County 4-H Program or Abilene Sporting Clays or any other persons connected with the youth activity responsible for any bodily injury or any damage or loss sustained by the above 4-H member while participating in any of these activities. Parent/Guardian Signature _______________________________________
Date