Community Champions Registration – Clays for Kids Tioga County

Community Champions

Fill out the below information for online submission and payment or download and mail the form to Clays for Kids, C/O TCPCH, 33 Pearl Street, Wellsboro, PA 16901

Download

Business Name

Contact Name

Phone

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Community Champion Level

Please select your Team Sponsorship option

Would you like to add a team to your sponsorship?

Team Information

Name 1 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 2 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 3 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 4 *

Phone *

Email Address *

Ammo *

Shirt Size *

Team Information

Name 1 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 2 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 3 *

Phone *

Email Address *

Ammo *

Shirt Size *

Name 4 *

Phone *

Email Address *

Ammo *

Shirt Size *

Do you have a volunteer interested in being a youth mentor?Youth Team Mentors may or may not have the ability to shoot with their Youth Team. If Mentors have 3 or less youth on their team they will be allowed to shoot with their youth team for no cost. Mentors must be willing and able to give clay shooting advice to teens between the ages of 12 and 17. You do NOT need to be a professional to mentor, just willing be willing to help. The Mentored Youth Shoot will take place in the afternoon, adults wishing to participate in the morning shoot and be a mentor may do so.

Volunteer Information

Volunteer Name

Phone

Email Address

Shirt Size

Ammo12 Gauge20 Gauge

Are you donating Swag or a "Basket" Raffle Item?

Do you need a Clays for Kids Volunteer to pick it up?

Who should we contact for the raffle or swag donation?

Phone

What are you donating for Swag? How can a Clays for Kids volunteer collect the swag?

Would you like to cover the Online Charge Fees?

Online Pay FeesYou’ve agreed to pay the fees associated with the charge.

Community Champion Total