Clay Shoot Registration Form

7th Annual Fr. Eugene Finnell Memorial
Sporting Clay Shoot
Saturday, 18 April, 2015
Location:
Oak Ridge Sportsman’s Club, Mackinaw
See Map & Directions on reverse
Registration:
12:00 p.m.
Shoot begins:
1:00 p.m.
Social & Steak Dinner: 5:30 p.m.
Knights of Columbus Hall
616 W. David Street, Morton, IL
Requirements:
Shooters provide shotgun, ammunition,
required hearing and eye protection
Cost:
$100 per person
First 75 participants who register by March 21st will receive
a Black Anodized 1000 Lumen Tactical Flashlight
Mail your reservation to:
Philip Lange, 22895 Broadway Road, Morton, IL 61550
Limited Space is available on the day of the Shoot.
Make checks payable to: Blessed Sacrament Fellowship Festival
For more information: Philip Lange at 309-264-0929 or e-mail: Fr.Finnell.Clayshoot@gmail.com
www.mortonblessedsacrament.org
Registration Form
Name ______________________________ Address_______________________________________
City ___________________ State _______ Zip________ Phone ____________________________
E-mail ______________________________
Registering as part of a 5-person team? YES
NO Team Captain ______________________
RELEASE OF LIABILITY
Be aware that in registering yourself for participation in the above program, you will be waiving and releasing all claims for injuries you might sustain arising out of
the said program. In consideration of entry of my participation, I, for myself, heirs, executors and administrators, waive, release and forever discharge any and all
rights and claims of whatsoever kind and nature which may accrue to me at any time against the Village or Morton, County of Tazewell, Roman Catholic Diocese
of Peoria, Morton Blessed Sacrament School and Parish, Oak Ridge Sportsman’s Club, Incorporated, and its Staff and all sponsors and their employees, agents
and volunteers from any and all injuries and damages suffered by me in connection with this event. I further warrant that I am physically fit for this shoot in any
weather conditions and voluntarily assume any risk attendant thereto.
Signed ___________________________________
Guardian _________________________________
Date_____________________
(Required if participant is a minor under the age of 18 years)
Sporting Clay Shoot & Steak Dinner $100
Additional Dinner (Non-Shooter)
$30
TOTAL
Office Use Only
Check
Cash
Pre-Paid
___________
___________
___________
7th Annual Fr. Eugene Finnell Memorial
Sporting Clay Shoot
Saturday, April 18, 2015
Location:
Oak Ridge Sportsman’s Club, Mackinaw
Registration:
12:00 p.m.
Shoot begins:
1:00 p.m.
Social & Steak Dinner: 5:30 p.m.
Knights of Columbus Hall
616 W. David Street, Morton, IL
Directions to Oak Ridge
Sportsman’s Club
Located at 13001 Weishaupt Road,
Mackinaw, IL 61755 Tel: 309-359-8588
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Go south on 1-155 toward Tremont.
Exit at Route 9 (Exit #25) turn left.
Travel east on Route 9 approximately 5
miles.
Turn right on Weishaupt Road (1st
road east of Mackinaw River) Travel
south 1.2 miles to break in fence.
Turn right into Oak Ridge Sportsman’s
Club.
Send in your registration
early to qualify for a
Black Anodized
1000 Lumen
Tactical Flashlight!
Limited to the first
75 registrants
Awards
Top Team
Top Male
Top Female
Rookie