midland county 4-h whizbang

saturday, april 25MIDLAND SHOOTERS ASSOCIATION5911 SOUTH FM 1788MIDLAND, TEXAS

Registration info

First Name: Last Name:County: Cell Phone:Email:Age as of August 31, 2014:Please circle your division:Junior (9-10) Senior I (14-15)Intermediate (11-13) Senior II (16-18)Circle your rotation:Morning AfternoonEvent entry total: $9550 targets each for skeet, trap & whizbangLOOKING FORWARD TO A GREAT EVENT!

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

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

Mail your entry form, WAIVER & check to:

Shea Thompson3700 Bluebird LaneMidland, Texas 79707

MIDLAND COUNTY 4-H WHIZBANGSaturday, April 25th, 2015IMPORTANT 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.midland county 4-h whizbang

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 ParticipationIn 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: _________________, 2015Printed 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: _________________, 2015Printed Name: _____________________________________________