Beneficiaries
Community Champion Form
Team Registration
Mentored Youth
Mentored Youth
Parent Name
Phone
Email
Street Address
*
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Youth Information
Name 1
*
Age
*
Age
12
13
14
15
16
17
Youth must be 12 to 17 years old
Phone
*
Email Address
*
Have you completed a Hunters Safety Course?
*
Hunter Safety Course
Yes
No
Completion of a Hunters Safety Course is required for youth to participate
Ammo
*
Please select an option
12 gauge
20 gauge
Shirt Size
*
Please select an option
Small
Medium
Large
XL
XXL
XXXL
Would you like to add 2nd Youth?
*
Please select an option
Yes
No
Youth Information
Name 1
*
Age
*
Age
12
13
14
15
16
17
Youth must be 12 to 17 years old
Phone
*
Email Address
*
Have you completed a Hunters Safety Course?
*
Hunter Safety Course
Yes
No
Completion of a Hunters Safety Course is required for youth to participate
Ammo
*
Please select an option
12 gauge
20 gauge
Shirt Size
*
Please select an option
Small
Medium
Large
XL
XXL
XXXL
Would you like to add a 3rd Youth?
*
Please select an option
Yes
No
Youth Information
Name 1
*
Age
*
Age
12
13
14
15
16
17
Youth must be 12 to 17 years old
Phone
*
Email Address
*
Have you completed a Hunters Safety Course?
*
Hunter Safety Course
Yes
No
Completion of a Hunters Safety Course is required for youth to participate
Ammo
*
Please select an option
12 gauge
20 gauge
Shirt Size
*
Please select an option
Small
Medium
Large
XL
XXL
XXXL
Would you like to add 4th Youth?
*
Please select an option
Yes
No
Youth Information
Name 1
*
Age
*
Age
12
13
14
15
16
17
Youth must be 12 to 17 years old
Phone
*
Email Address
*
Have you completed a Hunters Safety Course?
*
Hunter Safety Course
Yes
No
Completion of a Hunters Safety Course is required for youth to participate
Ammo
*
Please select an option
12 gauge
20 gauge
Shirt Size
*
Please select an option
Small
Medium
Large
XL
XXL
XXXL
Do you have a volunteer interested in being a youth mentor?
Yes
No
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
Small
Medium
Large
XL
XXL
XXXL
Ammo
12 Gauge
20 Gauge
Complete your Community Champion Registration