Quad County Shooting SportsContest Entry Form

Grant - Garfield – Alfalfa- Major

Location Grand National Gun Club Date April 23, 2016

Event2016 Trap Shoot County

Registrations received after 4:00 p.m. on April 8, 2016 will not be accepted!

NO EXCEPTIONS! No Refunds Registration Fee: $30

T = Team
I=Individual
4 can be on team and low score will be dropped. / LIST MEMBERS BY SQUAD
(If three or four names are not listed, they will be squaded as individuals) / Shirt Size (specify adult or child size) / Gender
M / F / DATE of BIRTH
Participants MUST have been 10 years of age BEFORE Jan. 1, 2016

In order for a 4H member to participate in a 4H Shooting Sports Activity they must:

  1. Have a completed enrollment card on file in the County Extension Office.
  2. Be instructed by a 4H Certified Shooting Sports Instructor with a minimum of 8 hours instruction.
  3. Have an Oklahoma Hunter Education Number.

The signature of the 4H Certified Shooting Sports Instructor AND the home county Extension Educator below certifies that those named above meet the qualifications to participate in this event.

4H Certified Instructor SignatureCoach’s e-mail address for future information

Extension Educator’s SignatureDate

Entry Form and payment must be received at the following address no later than 4:00 pm on April 8, 2016:

Make checks payable to: “OSU Extension”

Attn: Kassie Junghanns (email: )

Grant County Extension Office

112 E. Guthrie Room 301 Medford, OK 73759

Phone: 580-395-2134

Quad County Shooting Sports T-Shirt Order form

$15 each

**EXTRAS ONLY**

Contestant’s shirts are ordered and paid for through registration form.

Name / Adult or Youth Size / Shirt Size
Total / # of extras ______/ Total $______

Please add extra t-shirts to registration check or make additional check, also payable to OSU Extension

Additional shirts will only be guaranteed if purchased and paid for at the time of registration!