Individuals or Teams - Peoria Skeet & Trap Club

Join us for a fun-filled day of trapshooting for both novice and experienced shooters
All profits from event will be donated to
Susan G. Komen for the Cure ® Memorial Affiliate
Saturday -- May 2, 2015
Peoria Skeet & Trap Club
1470 Spring Bay Rd (IL Rt 26) – East Peoria, IL
$30 REGISTRATION INCLUDES
PROGRAM ACTIVITIES
(rain or shine)
2 Rounds (50 birds) of Trapshooting
Check-In/Registration begins at 9:30 am
2 Boxes Shotgun Shells
Shoot time and location assigned at check-in
Participation T-shirt (while supplies last)
Shooting begins at 10:00 am
(eye/ear protection required)
PRE-REGISTRATION RECOMMENDED
Make checks payable to
Peoria Skeet & Trap Club
and mail with registration to:
Lunch off the grill
Raffles & silent auction throughout the day
“Shoot for Cure” merchandise
Shoot for Cure
Peoria Skeet and Trap Club
1470 Spring Bay Road
East Peoria, IL 61611
Add’l Info (309) 645-2597
www.peoriaskeetandtrap.com
Participants must provide their own firearms—eye & ear protection required (available at clubhouse). One person per registration form.
If you wish to shoot as a group, please submit entries together as a group. Print clearly and complete all sections:
Name (first, last): ____________________________________ Mailing Address: _________________________________________
Email Address: ____________________________________
$30 Registration Fee (per person) includes:
Phone: __________________________
2 Rounds of Trapshooting (16 yards)
2 Boxes Ammunition (12ga or 20ga)
and Participation T-Shirt (while supplies last) Circle Size: S - M - L - XL - XXL XXXL (adult sizes)
---------------------------------------------------------------------------------------------WAIVER AND RELEASE OF CLAIMS. SIGNATURE REQUIRED
I understand I have given up substantial rights by signing this release, and have signed it freely and voluntarily without an y inducement, assurance
or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by
law.
X __________________________________________________ ________
Participant Signature (or parent/guardian if under 18)
date