MIDLAND

COUNTY 4-H
WHIZBANG
SATURDAY, APRIL 25
MIDLAND SHOOTERS ASSOCIATION
5911 SOUTH FM 1788
MIDLAND, TEXAS

REGISTRATION INFO
First Name:

Last Name:

County:

Cell Phone:

Email:

Check-In begins at
8:00 am

Morning rotation
begins @ 9:00 am

Afternoon rotation
begins @ 12:00 pm

HOA & HAA awarded

for each division

Age as of August 31, 2014:

Please circle your division:
Junior (9-10)

Senior I (14-15)

Intermediate (11-13)

Senior II (16-18)

Make checks
payable to:
Midland County
4-H Shooting
Sports

Circle your rotation:

Morning

Afternoon

Event entry total: $95

50 targets each for skeet, trap & whizbang
LOOKING FORWARD TO A GREAT EVENT!

MAIL YOUR ENTRY

FORM, WAIVER &
CHECK TO:
SHEA THOMPSON
3700 Bluebird Lane
Midland, Texas

MIDLAND
MIDLAND COUNTY 4-H WHIZBANG
COUNTY
4-H
TH
SATURDAY, APRIL 25 , 2015
WHIZBANG
IMPORTANT INFORMATION

The shoot will take place at Midland Shooters Association Shotgun Range, 5911 South FM
1788, between Midland and Odessa.
Check-in begins 1 hour before rotation begins.
Mandatory safety meeting will begin 30 minutes prior to your rotation.
Morning rotation begins at 9 am; Afternoon rotation begins at 12 pm.
Rotation choice honored on a first registered, first served basis so dont wait to register.
Rotations will be announced via the blog: www.midland4h.blogspot.com
Shooters will be grouped according to division when possible.
If you have siblings shooting and you would like to have them on the same squad, please
email the club with your request, and we will do our best to accommodate you.
Concessions available ON-SITE.
Breakfast begins at 8 am; Lunch begins at 11:00 am.
Any tie-breakers will be settled with shoot-offs.
Shoot-offs will begin after the completion of the afternoon rotation.
Awards will begin after the completion of all events and shoot-offs.
Buckles for HOA & HAA will be awarded in each age division.
Awards will be presented for the top 3 scores in each event and in each division.
For directions, preferred lodging and additional information, please visit our blog at:
www.midland4h.blogspot.com
Direct any questions to Shea Thompson at the club email: midland4h@gmail.com
or text her at: 432 352 4669.

Waiver for Participation

In consideration of being permitted to participate (including guests of participants who
are observing only) in shooting sports events at Midland Shooters Association Shotgun
Range the undersigned, individually and/or in his capacity as parent/legal guardian for a
minor child(ren) identified herein for himself/herself, his/her spouse, his/her child(ren),
legal representatives, heirs, assigns, HEREBY RELEASES, WAIVES, AND FOREVER
DISCHARGES Midland Shooters Association, Midland County 4-H Shooting Sports and
such parties officers, directors, committee members, and each of them, together with
any corporate and/or charitable entity sponsoring the event, its officers, directors, and
employees from all liability to the undersigned releaser, his/her spouse, his/her
child(ren), legal representatives, heirs and assigns, of and from any and every claim,
demand, action or whatever kind of nature, either in law or in entity, arising from or by
reason of bodily injury or personal injuries known or unknown death or property damage
resulting from any accident that may occur from his/her participation or his/her childs
participation, in shooting sports events or any activities in connection with same, and
whether by any such parties negligence or not. The undersigned also assumes full
responsibility for the risk of bodily injury, death or property damage that may occur
during his/her participation, work or other activities related to participation whether or
not the same is caused by the negligence of any of the above mentioned entities, their
employees or officials or otherwise. The undersigned further agrees to indemnify of all
the above mentioned entities, their officers, committee members, and each of them,
from any loss, damage or cost they incur due to the undersigneds, or the undersigneds
minor childs, participation in the shooting sports event. This release, waiver, and
indemnity is intended to be as broad and inclusive as permitted by the laws of the State
of Texas, and if any portion is held invalid, it is agreed that the balance shall,
notwithstanding continue in full legal force and effect. The undersigned further states
that he/she has carefully read the foregoing release the foregoing and knows the
contents thereof and signed this release as his/her own free act. In witness whereof, the
undersigned has executed this release on the day and year stated below.

Shooters Signature: _____________________________________________

Date: _________________, 2015
Printed Name: _____________________________________________
I HEREBY CERTIFY that I am the parent/guardian/legal custodian of the minor designated
herein, and I execute this RELEASE on behalf of the minor, indemnifying all entities
identified.

Signature of Parent/Guardian/Legal Representative:

_____________________________________________
Date: _________________, 2015
Printed Name: _____________________________________________