Shooting Agreement & Waiver of Liability: Please fill out and return the Shooting agreement and Waiver of Liability form and return
Saturday May 9 2015
Maximum 90 shooters allowed - Pre-Registration Required.
Deadline for entries is Friday April 17, 2015. May extend shooter number if max reached by April 3.
•  Location: Ellis County Sportsman Club (DeSoto Gun Club) "##$%&&'''()*+,#,-./01.2#3(0,4 
•  Registration will start at 7:30 am, Safety at 8:15 am and shooting will start at 8:45 am.
•  Whiz-bang qualification provided by TPWD!
•  All ties will be broken by shoot offs.
Registration Form SHOOTER INFORMATION (Please print clearly)
Last Name: ___________________________ First: __________________ Middle: ________________
T-shirt Size: ___Youth ___ Adult ___Small ___Medium ___Large ___XL ___XXL
Entries received after April 13th may not be eligible to receive a t-shirt.
Lunch Included!!
Shooter’s lunch is included in registration fees. Lunch & concessions will be available for purchase at
the field. Purchases will be cash only. 
Squads: If you would like to be in a squad with someone, please send applications together. We will
try to accommodate your request. 
Name: ___________________________________ County: ___________________________
Name: ___________________________________ County: ___________________________
REQUEST for PULLER and SCORER assistance: Volunteers are needed to assist in pulling and scoring
throughout the day. These are not lengthy assignments, one or two rounds. PLEASE PITCH IN AND
SUPPORT OUR YOUTH!
 
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Shooting Agreement & Waiver of Liability: Please fill out and return the Shooting agreement and Waiver of Liability form and return
NOVICE SHOOTERS ONLY: Please check if applicable:
 ______:Novice - Participating as a Novice is optional for any shooter. Novice classes will be Junior (age 13 and
under) and Senior (age 14 and over). A Novice for this tournament is considered to be any shooter who is in their
first year of 4-H shooting (2014-2015 season) and has not shot more than 300 4-H targets in 4-H tournaments.
 _____ Junior (8 to 13)  _____ Senior (14 to 18) 
 _____ Trap & Skeet Package (25 Targets each) - $40 
Total: $______  
All Other Shooters check one class: (Age As of 8/31/2014) 
 _____ Junior (8 to 10)  _____ Intermediate (11 to 13)  _____ Senior I (14-15)  _____ Senior II (16-18) 
Pick Your Games:
 _____ Trap, Skeet, 5-Stand, Sporting Clays Package- $140 (50 Targets each) 
 _____ Trap and Skeet Package - $75 
(50 Targets each) 
Total: $______
Adult Shooters: Parents have the option to participate with their child in the sporting clay event. Adult registration fee will be $40. Adults who register to shoot will receive a lunch ticket. Only register once.
Name of Shooter(s): __________________________________________________________
Payment Information:
(Make checks payable to Dallas 4-H Shooting Sports)
Late Fee: A $20 late fee will apply for all registrations received after APRIL 27TH 
Check Number: ____________________ Total Check Amount: _________________
Mail in registration with check to: Dallas 4-H Shooting Sports
Attn: Todd Viegut/Tamra McGaughy
Registration can also be faxed to 214/904-3080 or e-mail to tdmcgaughy@ag.tamu.edu but will not be
processed until payment is received.
Event Address: 470 W Sterrett Rd, Waxahachie, Texas 75167 
 
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