11th Annual Shoot Out for Autism Reg Form

11th AnnualShoot out logo

Saturday, June 4th, 2016

First 50 registrants will receive FREE Ammo
(4 boxes of 12 gauge only; courtesy FIOCCHI)

LOCATION:
OZARK SHOOTERS SPORTS COMPLEX
759 US Hwy 65, Walnut Shade, MO 65771
To Register
Ozarks Shooters:417-443-3093
Michael Woodring: 417-693-0583
Fax: 417-443-0811
Email: Shootoutforautism@yahoo.com
REGISTRATION: 8:00am – 9:00am
Safety Meeting: 9:15am
Shooting Starts – 9:30am

ENTRY FEE:
$100 per person
Event Includes: 100 Sporting Clays * Event T-Shirt * Lunch

Click here for more information

How to Enter

NOTE: YOU MUST COMPLETE BOTH STEPS!!

1. Go to PayPal and submit your entry fee (Credit/Debit Cards also accepted).

2. Return here and fill out the form below. Use the same information so we can match your entry with your payment.

* = Required

Full Name*

Address 1*

Address 2

City*

State*

Zip (required)

Phone (required)

Your Email (required)

Squad Name

5 person squad max
No Squad? No problem! Individual participants will be assigned to squads.

Questions or Comments?