TYE AND HEATH STENCEL

Size: px
Start display at page:

Download "TYE AND HEATH STENCEL"

Transcription

1 GAME RESORT TYE AND HEATH STENCEL 8604 COUNTY ROAD 6 WIGGINS, CO NAME:. ADDRESS:. CITY:, STATE. ZIP. HOME PHONE ( ). CELL PHONE ( ). ADDRESS:. RELEASE Whereas, the undersigned desired to release certain parties from any damages that may arise, directly or indirectly, as the result of his participating in activities offer by LONGMEADOW GAME RESORT, fully realizing the inherent danger in any type of sporting event of this nature. NOW, THEREFORE, in consideration of being allowed to participate in said activities, the undersigned does hereby release and forever discharge LONGMEADOW GAME RESORT, its staff, members, guides, and all land owners upon whose land they may be hunting, from any and all manner of actions, causes of actions, claims and demands whatsoever in law or in equity, which may arise now or in the future as a result of, or pertaining to, the undersigned's participation in said hunt or any of its activities. INWITNESS WHEREOF, I have hereunto affixed my hand this date and year written below: I have received (read and understand) the official rules and regulations of LONGMEADOW GAME RESORT and agree to abide by the provisions therein. I hereby give Longmeadow Game Resort and Event Center permission to use pictures taken of me at this event or at their venue in their advertising or on their website. Dated this day of 20. Signed.

2 Hunting Rules and Regulations 1. All hunters will be required to sign a Waiver of Liability prior to hunts. 2. Ear & Eye protection is MANDATORY for all shooters and spectators. 3. No alcohol prior to or during hunts. 4. No illegal drugs at any time. 5. Firearms are to be unloaded with actions opened until hunters arrive at assigned hunting location. Firearms are to be unloaded and actions opened when hunters leave the hunting area. Shot size is limited to #6 or smaller 12 and 16 gauge shells limited to 2¾ inches. Smaller gauges shells restricted to no more than 3 inch. 6. No shooting at or within 500 feet of any building. No shooting within 50 feet of any public roadway. 7. Treat dogs with the same respect as you would treat a person. Any injury to a dog due to abuse or negligent use of a fire arm will be subject to termination of hunt and/or membership and all costs will be covered by offender. Replacement of a Longmeadow Hunting Dog=$5, No trespassing on neighboring property or leaving your hunting area to hunt elsewhere on the preserve without permission.

3 9. No shooting of birds on the ground. 10. Sportsmanlike conduct and proper safety precautions required at all times. Longmeadow reserves the right to remove anyone acting in a manner deemed inappropriate. 11. During non-guided hunts dogs are to be under owners/handlers control at all times. 12. Shooting of non-preserve wildlife is prohibited. 13. The cost of any property damage due to abuse or neglect will be the responsibility of said offender. Sporting Clays & Trap Rules and Regulations 1. No shot size larger than 7-1/2 and no more than 3-1/4 dram equivalent powder load. No magnum loads. 2. All guns must remain unloaded and open when not in the shooting stand and when walking between stations. 3. Ear & Eye protection is MANDATORY for all shooters and spectators. 4. Once in shooting stand, guns must be pointed safely down range. 5. Everyone must remain on pathway and in designated shooting stands at all times. 6. Shoot only from designated shooting stands. 7. Load no more than 2 shells in your gun at one time 8. Each SQUAD is allowed ONE free show pair per station.

4 9. PLEASE CLEAN UP your empty hulls and all other trash and discard in cans provided before proceeding to next station. 10. The shooting of live birds on the sporting clays course is strictly prohibited. NON-COMPLIANCE WITH ANY OF THE RULES ABOVE WILL RESULT IN THE IMMEDIATE TERMINATION OF THE SHOOT AND THE FULL AMOUNT OF THE SHOOT CHARGED! Name (Print): Signature:.

5 Photograph and Publicity Release Form I,, give Longmeadow Game Resort And Event Center permission to use my name, likeness, image, voice, video and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Longmeadow. I agree that Longmeadow have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the Longmeadow's permissions. These uses include, but are not limited to social media platforms such as, Facebook, Twitter, YouTube, Linked In, etc.; illustrations; bulletins; exhibitions; videos; reprints; reproductions; publications; advertisements; and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc., for the use of such pictures, etc., and hereby release Longmeadow and its agents and assigns from any and all claims which arise out of or are in any way connected with such use. I have read and understood this consent and release. I give my consent to Longmeadow to use my name and likeness for social media and promotional purposes... Name Please Print.... Signature Date

The Streetsboro Sportsman Association, Inc.

The Streetsboro Sportsman Association, Inc. Range Safety Plan This Safety Plan has been established on January 1, 2013 to ensure the health and safety of all individuals who use or frequent the Streetsboro Sportsman Association Shooting Range and

More information

Welcome. Family Outdoor Day. on Saturday, June 1, 2013 at. Hunting Hills in Dilliner Pennsylvania!

Welcome. Family Outdoor Day. on Saturday, June 1, 2013 at. Hunting Hills in Dilliner Pennsylvania! Welcome TO THE 2013 Cabela s CLUB Family Outdoor Day on Saturday, June 1, 2013 at Hunting Hills in Dilliner Pennsylvania! Get ready for an exciting day full of outdoor activities. Cabela s staff will be

More information

Tennessee Wildlife Federation s 2019 Youth Hunt. Hold Harmless & Release Agreement

Tennessee Wildlife Federation s 2019 Youth Hunt. Hold Harmless & Release Agreement Tennessee Wildlife Federation s 2019 Youth Hunt Hold Harmless & Release Agreement In consideration of being permitted to participate in the Tennessee Wildlife Federation s Youth Hunt (the Youth Hunt ),

More information

2017 VYF&C REGISTRATION CARD

2017 VYF&C REGISTRATION CARD Equipment deposit Post Dated 12/31/17 $175.00 Snack Bar Deposit Post Dated 12/31/17 $150.00 FAMILY PLAN 3 Registrants $500.00 4 Registrants $585.00 5 Registrants $645.00 Pricing does not include Camps

More information

2015 BALTIMORE RAVENS CHEERLEADER APPLICATION

2015 BALTIMORE RAVENS CHEERLEADER APPLICATION PRELIMINARY # OFFICE USE ONLY LAST FIRST 2015 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $40.00 check or money order made payable

More information

Independent Sportsmen s Club, Inc.

Independent Sportsmen s Club, Inc. Application for Membership Independent Sportsmen s Club, Inc. Mailing Address: P. O. Box 902, North Attleboro, MA 02761-0902 Location: 38 Mirimichi Road, Foxboro, MA Please read carefully. You must answer

More information

USA WATER SKI U.S. TEAM AGREEMENT

USA WATER SKI U.S. TEAM AGREEMENT USA WATER SKI U.S. TEAM AGREEMENT EFFECTIVE JANUARY 2017 USA Water Ski THIS AGREEMENT ( Team Agreement ) is made the day of, 201 between USA Water Ski, a corporation incorporated under the laws of the

More information

City of Mentor Deer Hunting Permit Packet

City of Mentor Deer Hunting Permit Packet 2017-2018 Deer Hunting Permit Packet This packet contains all information and paperwork necessary to apply for a hunting permit within the City of Mentor. In this packet, you will find: Hunting application

More information

Member 2018 Swim Team Application

Member 2018 Swim Team Application Member 2018 Swim Team Application Parent s names: Address: Home Phone: Mother s work/cell: Father s work/cell: Additional phone numbers: Email address to contact you for meet sign ups, directions, etc.

More information

3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT

3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT 3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT WHEREAS, Client (individually referred to herein as Client ) desires to engage 3R Ranch Outfitters LLC to provide hunting, guiding, camping and related outdoor

More information

Bodybuilding, Figure, Bikini and Physique Championships - Featuring Men s Pro Level 2 and Figure Pro Classic Physique & Classic Bikini

Bodybuilding, Figure, Bikini and Physique Championships - Featuring Men s Pro Level 2 and Figure Pro Classic Physique & Classic Bikini ANBF Sanctioned 2017 POCONO CLASSIC APRIL 22, 2017 Lakeland Junior Senior High School 1355 Lakeland Drive, Jermyn PA 18433 Bodybuilding, Figure, Bikini and Physique Championships - Featuring Men s Pro

More information

Financial Agreement Jaguar FC Teams. LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 & March 1

Financial Agreement Jaguar FC Teams. LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 & March 1 Financial Agreement Jaguar FC Teams Player Name Date of Birth - - ANNUAL ONE-TIME NON-REFUNDABLE CLUB Fee: $50 due at registration LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 &

More information

FeedMore is Central Virginia s core hunger-relief organization comprised of programs like the Central Virginia Food

FeedMore is Central Virginia s core hunger-relief organization comprised of programs like the Central Virginia Food I am pleased to announce that the Mideast Division will be hosting our 2017 Annual Charity Sporting Clay Tournament, which will provide much needed support for food banks in both Virginia and North Carolina.

More information

Eagle s Landing Swim Team Club Member Summer 2018 Swim Team Application

Eagle s Landing Swim Team Club Member Summer 2018 Swim Team Application Eagle s Landing Swim Team Club Member Summer 2018 Swim Team Application Parent s names: Membership # Address: Home Phone: Mother s work/cell: Father s work/cell: Additional phone numbers: Email address

More information

Village of Granville. Controlled Hunting Program Hunting Permit Application Packet

Village of Granville. Controlled Hunting Program Hunting Permit Application Packet Village of Granville Controlled Hunting Program 2016-2017 Hunting Permit Application Packet 2 Village of Granville Wildlife Management Guidelines The purpose of this packet is to make available a wildlife

More information

APPLICATION PACKAGE FOR MEMBERSHIP

APPLICATION PACKAGE FOR MEMBERSHIP KINNICUM FISH & GAME P.O. BOX 191 CANDIA NH 03034 kinnicum@gmail.com APPLICATION PACKAGE FOR MEMBERSHIP What to Expect and What to bring 1. Email (preferred) or mail the club your application for review.

More information

INSTRUCTIONAL SHOTGUN EXPERIENCE

INSTRUCTIONAL SHOTGUN EXPERIENCE INSTRUCTIONAL SHOTGUN EXPERIENCE FOR BOY SCOUTS, VENTURERS AND SEA SCOUTS INTRODUCTION This guide is intended to provide units, districts and councils with an overview of the requirements for running the

More information

First Name Last Name Date of Birth / / Complete Address Home Phone Cell Phone

First Name Last Name Date of Birth / / Complete Address Home Phone Cell Phone Member Information Date of Birth / / Complete Address Home Phone Cell Phone Email Additional Family Members Date of Birth / / Please Circle: Male / Female Relationship Date of Birth / / Please Circle:

More information

WATERVLIET ROD AND GUN CLUB, INC. HANDBOOK OF CLUB SAFETY RULE

WATERVLIET ROD AND GUN CLUB, INC. HANDBOOK OF CLUB SAFETY RULE WATERVLIET ROD AND GUN CLUB, INC. HANDBOOK OF CLUB SAFETY RULE 1.O General Club Rules: 1. ALL club members are responsible for the safety and well being of the Watervliet Rod & Gun Club. 2. Always keep

More information

GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054

GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054 GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054 All persons desiring to use any GUN HUB, INC. (DBA GUN HUB USA)

More information

Little River Sportsman's Association Range Rules (2018)

Little River Sportsman's Association Range Rules (2018) Little River Sportsman's Association Range Rules (2018) 1. Eye and ear protection must be worn at all times anywhere on the range while the range is hot. This includes non-shooters. 2. Transporting firearms

More information

USA RUGBY EVENT SANCTION AGREEMENT

USA RUGBY EVENT SANCTION AGREEMENT USA RUGBY EVENT SANCTION AGREEMENT This agreement, entered into and between USA Rugby and (name of Local Organizing Group/club shall be a part of the Sanction Agreement for the Event known as (name of

More information

Membership Application

Membership Application Centralia Rifle Club & Junior Division A Washington not-for-profit corporation 908 Johnson Road, P.O Box 465, Centralia, WA 98531 (360) 736-1003 Membership Application Amount: $140.00 Dues are $140 per

More information

Waiver of Liability, Release Assumption of Risk & Indemnity Agreement

Waiver of Liability, Release Assumption of Risk & Indemnity Agreement Waiver of Liability, Release Assumption of Risk & Indemnity Agreement It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and

More information

2014 Houston Livestock Show and Rodeo Ranching & Wildlife Young Guns Sporting Clays Shoot Event Format & Rules

2014 Houston Livestock Show and Rodeo Ranching & Wildlife Young Guns Sporting Clays Shoot Event Format & Rules 2014 Houston Livestock Show and Rodeo Ranching & Wildlife Young Guns Sporting Clays Shoot Event Format & Rules Event Dates: Friday, February 28, 2014 & Saturday, March 1, 2014 Location: American Shoot

More information

Registration Form (Turn one in for each athlete)

Registration Form (Turn one in for each athlete) Registration Form (Turn one in for each athlete) Athletes Name (Last/First) Birth Date: Age: Gender: [ M ] [ F ] School: Address: City: Zip: Mothers (Last/First): Cell: Home: Fathers (Last/First): Cell:

More information

TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby)

TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) PERMISSION / ASSUMPTION - MINOR I, the undersigned parent(s) or legal guardian(s) of, hereby grant(s) permission for him/her to participate

More information

Lake Louise Pond Hockey Classic February 21-25, 2018

Lake Louise Pond Hockey Classic February 21-25, 2018 Lake Louise Pond Hockey Classic February 21-25, 2018 WAIVER AND RELEASE OF LIABILITY Lake Louise Pond Hockey Classic I acknowledge that I have agreed to participate in the Lake Louise Pond Hockey Classic

More information

Peacemaker National Training Center Standard Operating Procedures 1624 Brannons Ford Rd, Gerrardstown WV 25420

Peacemaker National Training Center Standard Operating Procedures 1624 Brannons Ford Rd, Gerrardstown WV 25420 Peacemaker National Training Center Standard Operating Procedures 1624 Brannons Ford Rd, Gerrardstown WV 25420 1 Preamble The Peacemaker National Training Center, LLC was founded in 2010. The company s

More information

Strathmore Stampede Parade Brought to you by the Town of Strathmore

Strathmore Stampede Parade Brought to you by the Town of Strathmore Strathmore Stampede Parade Brought to you by the Town of Strathmore : August 5, 2017 Start Time: 9:00 am Participant Setup: 7:00 to 8:30am (all participants must be set up and ready by 8:30am) Theme: Parade

More information

MAPLE LEAF MARKSMEN RIFLE AND REVOLVER CLUB 2102 ELEVENTH ST. ST. CATHARINES, ONTARIO L2R 6P7 CLUB PHONE:

MAPLE LEAF MARKSMEN RIFLE AND REVOLVER CLUB 2102 ELEVENTH ST. ST. CATHARINES, ONTARIO L2R 6P7 CLUB PHONE: 2102 ELEVENTH ST. ST. CATHARINES, ONTARIO L2R 6P7 CLUB PHONE: 905-682-1381 CLUB RULES AND REGULATIONS REVISED Oct 31 2018* *LATEST REVISION WILL BE POSTED AT THE CLUB AND ONLINE. PLEASE READ AND UNDERSTAND

More information

USA RUGBY EVENT SANCTION AGREEMENT

USA RUGBY EVENT SANCTION AGREEMENT USA RUGBY EVENT SANCTION AGREEMENT This agreement, entered into and between USA Rugby and (name of Local Organizing Group/Club) shall be a part of the Sanction Agreement for the Event known as (name of

More information

MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016

MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016 MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016 WAIVER OF LIABILITY, DISCHARGE, RELEASE INDEMNIFICATION AND HOLD HARMLESS AGREEMENT I, the Undersigned, for

More information

MAPLE LEAF MARKSMEN INC TH ST. LOUTH SOUTH ST. CATHARINES, ONTARIO CLUB PHONE: CLUB RULES AND REGULATIONS REVISED FEB *

MAPLE LEAF MARKSMEN INC TH ST. LOUTH SOUTH ST. CATHARINES, ONTARIO CLUB PHONE: CLUB RULES AND REGULATIONS REVISED FEB * 2102 11 TH ST. LOUTH SOUTH ST. CATHARINES, ONTARIO CLUB PHONE: 905-682-1381 CLUB RULES AND REGULATIONS REVISED FEB 07 2018* *LATEST REVISION WILL BE POSTED AT THE CLUB AND ONLINE. PLEASE READ AND UNDERSTAND

More information

DEER MANAGEMENT APPLICATION

DEER MANAGEMENT APPLICATION DEER MANAGEMENT APPLICATION Applicants must be in covered by insurance for a minimum of one million ($1,000,000) dollars of general liability. Any applicant who is prohibited by law from possessing a firearm

More information

Amateur $40.00 with $30.00 crossover fee to other classes. PRO $ After that Amateur $60.00 with a crossover fee of $ PRO $150.

Amateur $40.00 with $30.00 crossover fee to other classes. PRO $ After that Amateur $60.00 with a crossover fee of $ PRO $150. USBF Sanctioned Show MAY 14th, 2017 WHERE: Susquenita Middle School 200 Susquenita Drive, Duncannon, PA 17020 TIME: 9:00 AM - Check-In 11:00 PM - Pre-Judging 3:00 PM - Night Show ENTRY FEE: Early Bird

More information

DEER MANAGEMENT APPLICATION

DEER MANAGEMENT APPLICATION DEER MANAGEMENT APPLICATION Applicants must be in covered by insurance for a minimum of one million ($1,000,000) dollars of general liability. Any applicant who is prohibited by law from possessing a firearm

More information

2014 PBR Membership Requirements

2014 PBR Membership Requirements 2014 PBR Membership Requirements PLEASE READ THIS PAGE BEFORE COMPLETING THE MEMBERSHIP APPLICATION PBR is the true players association, owned and operated by the World s elite pro bull riders. Membership

More information

WELCOME TO THE SKATING YEAR

WELCOME TO THE SKATING YEAR SKATING CLUB OF SOUTHERN CONNECTICUT TERRY CONNERS ICE RINK, COVE ISLAND PARK, STAMFORD, CONNECTICUT DARIEN ICE HOUSE, OLD KINGS HIGHWAY, DARIEN, CONNECTICUT SONO ICE HOUSE, WILSON AVENUE, NORWALK, CONNECTICUT

More information

Indian Lake / Blue Mountain Fish And Game Association Inc. RANGE USE AND RULES 1. Introduction

Indian Lake / Blue Mountain Fish And Game Association Inc. RANGE USE AND RULES 1. Introduction Indian Lake / Blue Mountain Fish And Game Association Inc. RANGE USE AND RULES 1. Introduction 1.1 The Association recognizes that the operation of a range is a serious undertaking involving the health

More information

MUTTON BUSTIN APPLICATION

MUTTON BUSTIN APPLICATION MUTTON BUSTIN APPLICATION 97 th Annual Red Bluff Round-Up 2018 1. A Mutton Bustin event will be held in connection with rodeo performances at the Red Bluff Round-Up on April 20 th & 22 nd, 2018 pre-rodeo.

More information

FLOAT APPLICATION (Print Out Version)

FLOAT APPLICATION (Print Out Version) SATURDAY, MAY 4, 2019 8 PM CORPUS CHRISTI, TEXAS FLOAT APPLICATION (Print Out Version) Shiver me timbers! It s that time of year again! If you are up for adventure, set a course to Corpus Christi for the

More information

U.S. Ski & Snowboard Central Division 2018 Terrain, Elements & Speed Events Project

U.S. Ski & Snowboard Central Division 2018 Terrain, Elements & Speed Events Project U.S. Ski & Snowboard Central Division 2018 Terrain, Elements & Speed Events Project s: January 26 January 28, 2018 Site: Indianhead Resort, Ironwood, Mi. Camp Selections Grass Roots Level open to all Central

More information

APPLICATION DEADLINE IS AUGUST 9 th, Corn Roast Parade August 25, 2018 PARADE APPLICATION GENERAL PARADE INFORMATION

APPLICATION DEADLINE IS AUGUST 9 th, Corn Roast Parade August 25, 2018 PARADE APPLICATION GENERAL PARADE INFORMATION APPLICATION DEADLINE IS AUGUST 9 th, 2018 2018 Corn Roast Parade August 25, 2018 PARADE APPLICATION GENERAL PARADE INFORMATION The Loveland Chamber of Commerce invites you to participate in this year s

More information

Session 1: Session 2: Session 3: Session 4: Session 5: Session 6: Session 7: Session 8: Session 9:

Session 1: Session 2: Session 3: Session 4: Session 5: Session 6: Session 7: Session 8: Session 9: 2017 7480 Narcoossee Road, Suite 100A-E Orlando, Florida 32822 407-826-1994 www.upmafc.com Name of Camper: Date of Registration: Registration Fee/Deposit: SUMMER CAMP SESSIONS: (Please check session that

More information

Lilac Festival Parade Application

Lilac Festival Parade Application Lilac Festival Parade Application Applications MUST be received by Friday, June 9, 2018 Parade Date: June 17, 2018 Start Time: 4:00 p.m. Check type of parade entry you are applying for: (SELECT ONLY ONE)

More information

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION 2018-2019 MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION SEPTEMBER 18, 2018 2018-2019 Cheerleading Tryout Application FALL TRYOUT (Tuesday, September 18, 2018) NAME: (Last)

More information

2017 NPC SOUTHERN STATES MEN'S PHYSIQUE Fill out the form below to register.

2017 NPC SOUTHERN STATES MEN'S PHYSIQUE Fill out the form below to register. Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES MEN'S PHYSIQUE Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER for all NPC

More information

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM TRYOUT APPLICATION

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM TRYOUT APPLICATION 2018-2019 MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM TRYOUT APPLICATION 2018-2019 Cheerleading Tryout Application NAME: (Last) (First) (Middle) GENDER: (Circle One) FEMALE MALE BIRTH DATE:

More information

Greater Wichita Swim League Parent & Swimmer Contract RESOLUTION

Greater Wichita Swim League Parent & Swimmer Contract RESOLUTION Parent & Swimmer Contract Sportsmanship: The Greater Wichita Swim League (GWSL) strives to foster good sportsmanship and fellowship among swimmers and parents. We ask that each swimmer and parent to commit

More information

2018 District B Legion Track and Field Meet Saturday, June 16, 2018 Hosted by the Niagara Olympic Track & Field Club

2018 District B Legion Track and Field Meet Saturday, June 16, 2018 Hosted by the Niagara Olympic Track & Field Club 2018 District B Legion Track and Field Meet Saturday, June 16, 2018 Hosted by the Niagara Olympic Track & Field Club www.nocrunners.com Location: Niagara Olympic Track and Field Complex 78 Louth St., St.

More information

Lewiston Roundup Pageant Sponsored by the Lewiston Roundup Lewiston Roundup Court for 2018

Lewiston Roundup Pageant Sponsored by the Lewiston Roundup Lewiston Roundup Court for 2018 Lewiston Roundup Pageant Sponsored by the Lewiston Roundup Lewiston Roundup Court for 2018 MUST BE RETURNED TO THE ROUNDUP OFFICE NO LATER THAN AUGUST 18 TH, 2017 BY 3PM. Full Name Date of Birth Mailing

More information

Floyd Hall Arena. Youth Spring League 2019 Team Registration Form. Cost per Player: Balance Due:

Floyd Hall Arena. Youth Spring League 2019 Team Registration Form. Cost per Player: Balance Due: Floyd Hall Arena Youth Spring League 2019 Team Registration Form Date: Session: Taken By: Team Name: Division: Manager s Name: Address: Jersey Color: Email: City: State: Zip Code: Home Phone: Other Phone:

More information

MEN S SENIOR/ADULT BASEBALL LEAGUE Arizona AZMSBL Phoenix, Arizona. Warranty of Player s Fitness

MEN S SENIOR/ADULT BASEBALL LEAGUE Arizona AZMSBL Phoenix, Arizona. Warranty of Player s Fitness Warranty of Player s Fitness The undersigned (hereinafter, the Player ) hereby represents and warrants to the Men s Senior Baseball League, Inc. ( MSBL ) and the Arizona Men s Senior Baseball League (

More information

YMCA of Greater Erie #UnlimitedY Photo Contest Official Entry Rules

YMCA of Greater Erie #UnlimitedY Photo Contest Official Entry Rules YMCA of Greater Erie #UnlimitedY Photo Contest Official Entry Rules NO PURCHASE IS NECESSARY TO ENTER OR WIN. A PURCHASE DOES NOT INCREASE THE CHANCES OF WINNING. 1. Eligibility: This Contest is open only

More information

Team Relay Registration. Team Name: City: State: Team Captain Name: Phone (Day): Address: City: State: Zip:

Team Relay Registration. Team Name: City: State: Team Captain Name: Phone (Day): Address: City: State: Zip: 2017 Stafford s Top of Michigan Community Marathon Charlevoix-Petoskey-Harbor Springs Saturday, May 27 Team Relay Registration Team Name: City: State: Team Captain Name: Phone (Day): Address: City: State:

More information

DESCRIBE ANY MEDICAL PROBLEMS OR INJURIES

DESCRIBE ANY MEDICAL PROBLEMS OR INJURIES TRYOUT & EVALUATIONS APPLICATION ATHLETE S FIRST NAME STREET ADDRESS LAST NAME CITY, STATE, AND ZIP BIRTH DATE AGE AS OF AUGUST 31, 2017 GRADE IN SCHOOL PHONE EMAIL Do you want to be accepted to a(n):

More information

Third Annual Trophy Match

Third Annual Trophy Match Third Annual Trophy Match San Juan Wildlife Federation Range 5652 US Hwy 64, Farmington, NM 87401 June 29th, 2019 Course of Fire to be posted on website 30 days prior to event. www.sjwf.org/3gn/3gn_matches.htm

More information

2017 NPC SOUTHERN STATES MEN'S CLASSIC PHYSIQUE ENTRY FORM Fill out the form below to register.

2017 NPC SOUTHERN STATES MEN'S CLASSIC PHYSIQUE ENTRY FORM Fill out the form below to register. Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES MEN'S CLASSIC PHYSIQUE ENTRY FORM Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER

More information

2018 SHRIMP FESTIVAL PIRATE PARADE APPLICATION

2018 SHRIMP FESTIVAL PIRATE PARADE APPLICATION Sponsored By: 2018 SHRIMP FESTIVAL PIRATE PARADE APPLICATION Entry Name: Contact Person: Day Phone #: Evening Phone #: Cell # Address: Email: Entry Category (Check ONLY one): Float Only Walking Unit Float

More information

2016 WPCA Qualification Run-Off Package. Contents to Apply for entry into the 2016 Run-Off

2016 WPCA Qualification Run-Off Package. Contents to Apply for entry into the 2016 Run-Off 2016 WPCA Qualification Run-Off Package RUN OFF: Location TBD August 25th - 28th, 2016 Contents to Apply for entry into the 2016 Run-Off 1. Entry fee for run-off: $1500.00 (Certified Cheque, Cash and Credit

More information

2018 Vintage Tractor Pull Competitor Application July 7 8, 2018

2018 Vintage Tractor Pull Competitor Application July 7 8, 2018 2018 Vintage Tractor Pull Competitor Application July 7 8, 2018 Applications close May 18, 2018 NAME: Address: City/Town: Prov/State: Postal/Zip Code: _ Telephone: ( ) Email: Years of Pulling Experience:

More information

5901 Mt. Gainor Rd Wimberley, Tx HUNT AGREEMENT AND LIABILITY RELEASE

5901 Mt. Gainor Rd Wimberley, Tx HUNT AGREEMENT AND LIABILITY RELEASE HUNT AGREEMENT AND LIABILITY RELEASE This agreement is made by DOUBLE F RANCH hereinafter referred to as the OUTFITTER and (NAME, ADDRESS AND PHONE NUMBER) hereinafter referred to as the CLIENT. This agreement

More information

Swimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Parent/Guardian Signature Date

Swimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Parent/Guardian Signature Date Parent & Swimmer Contract Sportsmanship: The Greater Wichita Swim League (GWSL) strives to foster good sportsmanship and fellowship among swimmers and parents. We ask that each swimmer and parent to commit

More information

Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018

Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018 Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018 Project Goals To bring selected U14 athletes from NYSSRA, TSASRA, PARA, NJARA, & SARA, for a GS

More information

Lilac Festival Parade Application

Lilac Festival Parade Application Lilac Festival Parade Application Applications MUST be received by Friday, June 7, 2019 Parade Date: Sunday, June 16, 2019 Line up: 3:15 p.m. Start Time: 4:00 p.m. Theme: Bicycles and Bouquets Check type

More information

OISA MEMBERSHIP APPLICATION AND AGREEMENT - FORM A-1

OISA MEMBERSHIP APPLICATION AND AGREEMENT - FORM A-1 2017-18 OISA MEMBERSHIP APPLICATION AND AGREEMENT - FORM A-1 Team Name/School: League: Name of Competitor: M/F: Date of Birth: / / Grade: Address: City: State: Zip: Phone: Cellphone: Email address: Opt-in

More information

2018 River Falls Days Parade Registration Form

2018 River Falls Days Parade Registration Form 2018 River Falls Days Parade Registration Form Parade Information: Date and Time: Friday, July 13 Starts at 6:30p Lineup begins at 5p Theme: Keepin it Cool on the Kinni Registration Deadline: $20 late

More information

CLUB AND RANGE RULES

CLUB AND RANGE RULES CLUB AND RANGE RULES AUGUST 17, 2018 1630 Harlansburg Road, New Castle, PA 16101 1. Treat all firearms as if they are loaded! 1.1. Always handle firearms as you would if they were loaded. 1.2. Do not load

More information

SEAPORT SERTOMA CLUB

SEAPORT SERTOMA CLUB Held at Tampa Bay Sporting Clays Registration: 8:00 A.M. Shoot Begins: 10:00 A.M. Join us for a day full of fun that serves a great cause! Seaport Sertoma Club is a service club that has been part of Tampa

More information

Hawaiian Canoe Racing Association Insurance Program

Hawaiian Canoe Racing Association Insurance Program Hawaiian Canoe Racing Association Insurance Program Canoe Club: Adult and Minor Waiver and Release of Liability January 1, 2019 to December 31, 2019 In consideration of being allowed to participate in

More information

Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0

Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0 Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0 2017 Hunting Agreement WHEREAS, Client #1, Client #2, Client #3 _, and Client #4, (individually referred to herein as Client or collectively

More information

Always the Sunday before Thanksgiving. Participant Information and Application Form

Always the Sunday before Thanksgiving. Participant Information and Application Form Participant Information and Application Form Come be a part of the 70th Annual historic tradition to thrill spectators, especially our children, with the old fashioned spirit of magic and fun that is the

More information

GUIDED HUNT CONTRACT

GUIDED HUNT CONTRACT PO Box 454 Daniel, WY 83115 Phone Lodge: 307-859-8339 Fax 307-333-0096 Email: wyoranch@wyoming.com Website www.timberlinetrips.com GUIDED HUNT CONTRACT This agreement, entered between Big Country Outfitters

More information

WADSWORTH DISTRICT CONSERVATION LEAGUE and WADSWORTH HUNT CLUB GROUNDS OPERATING AND USE RULES Enacted January 1, 2018 PREAMBLE

WADSWORTH DISTRICT CONSERVATION LEAGUE and WADSWORTH HUNT CLUB GROUNDS OPERATING AND USE RULES Enacted January 1, 2018 PREAMBLE WADSWORTH DISTRICT CONSERVATION LEAGUE and WADSWORTH HUNT CLUB GROUNDS OPERATING AND USE RULES Enacted January 1, 2018 PREAMBLE The Wadsworth Hunt Club (WHC) has prepared this document in order to: 1)

More information

Association Falls at Green Meadows Community Association, Inc.

Association Falls at Green Meadows Community Association, Inc. RELEASE WAIVER OF LIABILITY ASSUMPTION OF RISKS and INDEMNITY/HOLD HARMLESS AGREEMENT for use of FALLS AT GREEN MEADOWS COMMUNITY ASSOCIATION SWIMMING POOL 1. Defined terms under this Agreement: Association

More information

Audition Packet Checklist. Application Waiver and Release Consent to release information Head shot Money order for $15.00

Audition Packet Checklist. Application Waiver and Release Consent to release information Head shot Money order for $15.00 Audition Packet Checklist Application Waiver and Release Consent to release information Head shot Money order for $15.00 Please mail applications to: Heather Karberg Cardinals Cheerleader Auditions PO

More information

27-29 June NRA Whittington Center Raton, NM

27-29 June NRA Whittington Center Raton, NM 2017 27-29 June NRA Whittington Center Raton, NM GENERAL RULES: Shooting order will be by random number generator. However no gun will be permitted to be used more than once per day. The shooting order

More information

USA Water Ski Event Sanction Agreement

USA Water Ski Event Sanction Agreement USA Water Ski Event Sanction Agreement This is a contract (the Agreement ) between USA Water Ski ( USA-WS: ), a New Jersey not-for-profit corporation, the event promoter(s) or director(s) and all other

More information

MISS RODEO USA PERSONAL SERVICES CONTRACT FOR MISS RODEO USA

MISS RODEO USA PERSONAL SERVICES CONTRACT FOR MISS RODEO USA MISS RODEO USA PERSONAL SERVICES CONTRACT FOR MISS RODEO USA This Agreement is hereby made and entered this day of January, 20, by and between the Miss Rodeo USA organization ( MRUSA ) and ( Representative).

More information

OPEN RIFLE SHOOTING EXPERIENCE

OPEN RIFLE SHOOTING EXPERIENCE OPEN RIFLE SHOOTING EXPERIENCE FOR BOY SCOUTS, VENTURERS AND SEA SCOUTS INTRODUCTION This guide is intended to provide units, districts and councils with an overview of the requirements for running the

More information

2017 NPC SOUTHERN STATES BODYBUILDING ENTRY FORM Fill out the form below to register.

2017 NPC SOUTHERN STATES BODYBUILDING ENTRY FORM Fill out the form below to register. Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES BODYBUILDING ENTRY FORM Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER for

More information

Application for Membership ONE SHOT HUNT CLUB

Application for Membership ONE SHOT HUNT CLUB Please Print Application for Membership ONE SHOT HUNT CLUB 4538 RIVER TRAIL ROAD, JACKSONVILLE, FL 32277 B J JONES, PRESIDENT (904)591-9876 DAN JONES, VICE PRESIDENT (904)334-7525 WWW.ONESHOTHUNTCLUB.COM

More information

Hunt the Buck$ Tournament

Hunt the Buck$ Tournament Hunt the Buck$ Tournament Only qualified (legal hunters), paid entrants are eligible for the Hunt the Buck$ Tournament (hereinafter Tournament ). To be a qualified, entrant must pay entry fee of $100 ($50

More information

FRIENDS OF NRA BENEFIT PISTOL MATCH

FRIENDS OF NRA BENEFIT PISTOL MATCH $35.00 Entry Fee Registration is limited to first 300 shooters Pre-Registration Only Must be received by October 9th, 2015 No registrations accepted day of match Shooter s meeting at 8:00am Shooting begins

More information

PENNSYLVANIA S OUTDOOR ADVENTURE HQ

PENNSYLVANIA S OUTDOOR ADVENTURE HQ MEMBERSHIP AND SEASON PASS RATES FISHING PENNSYLVANIA S OUTDOOR ADVENTURE HQ YOUR HEADQUARTERS FOR SUMMER OUTDOOR FUN SPORTING CLAY MEMBERSHIP RATES Sporting Clays Membership Rate Family Membership $500

More information

Rules regarding HUNTING in Ohio townships

Rules regarding HUNTING in Ohio townships Rules regarding HUNTING in Ohio townships 1533.14 Hunting license or wetlands habitat stamp not transferable - license to be carried and exhibited. Unless otherwise provided by division rule, no hunting

More information

OFFICIAL RANGE RULES. A. Range Operation & Safety Rules 1. RANGE OFFICER 2. RANGE IS ACTIVE (HOT) RED LIGHT

OFFICIAL RANGE RULES. A. Range Operation & Safety Rules 1. RANGE OFFICER 2. RANGE IS ACTIVE (HOT) RED LIGHT A. Range Operation & Safety Rules 1. RANGE OFFICER a. The first Member to arrive is deemed to be the Acting Range Officer. This may be handed over to another Member of AFGC at any time. b. A Range Officer

More information

Emergency Procedures. Tri-County Affiliations

Emergency Procedures. Tri-County Affiliations Emergency Procedures Range Officer should take charge of the situation. Render aid Call 911 Describe emergency Provide location: 8640 Moon Road, Saline Provide call back number: 429-9561 Direct Emergency

More information

TEXAS HOTSHOTS BASKETBALL CLUB

TEXAS HOTSHOTS BASKETBALL CLUB TEXAS HOTSHOTS BASKETBALL CLUB www.texashotshots.us PLAYER REGISTRATION PACKET REGISTRATION FORM Player Name: (First, Middle, Last) Home #: Address: City: Zip: Date of Birth: Grade: Uniform Size: Mother

More information

Sugarloaf Mountain Polocrosse Tournament

Sugarloaf Mountain Polocrosse Tournament Sugarloaf Mountain Polocrosse Tournament September 2 nd 4 th, 2016 Potomac Pony Club Field 19301 Bucklodge Rd., Boyds, MD 20841 Closing Date: August 20 th, 2016 No Entries Accepted After August 26 th,

More information

Summer Sizzle Shoot June 2, 2018 Chillicothe Sportsmen s Club General Information

Summer Sizzle Shoot June 2, 2018 Chillicothe Sportsmen s Club General Information Summer Sizzle Shoot June 2, 2018 Chillicothe Sportsmen s Club General Information The Chillicothe Sportsmen Club (CSC) and the 4-H Shooting Sports Clubs of Marshall-Putnam counties are co-sponsoring a

More information

E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL):

E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL): REGISTRATION FORM NAME: GENDER: E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL): MAILING ADDRESS: CITY: STATE: ZIP CODE: PRIMARY PHONE: EMERGENCY

More information

Fort Zumwalt West Inline Hockey Club

Fort Zumwalt West Inline Hockey Club Tryout Dates - 2018 Season Tryout Date: January 20th, 2018 All players must prioritize and plan to attend this tryout session. If for some reason you can not attend, you must contact us ASAP at fzwinlinehockeyclub@gmail.com

More information

Learn to Skate with Season MIDLAND FIGURE SKATING CLUB. Midland Civic Arena 405 Fast Ice Drive, Midland, MI Your dream begins here!

Learn to Skate with Season MIDLAND FIGURE SKATING CLUB. Midland Civic Arena 405 Fast Ice Drive, Midland, MI Your dream begins here! Learn to Skate with The Midland Figure Skating Club is a nonprofit organization and a proud member of United States Figure Skating. We offer programming for beginning tots through adults and all skill

More information

APPLICATION FOR MEMBERSHIP

APPLICATION FOR MEMBERSHIP Lima Sabres Shooting Association Inc. (LSSA, Association, club), an IRC 501(c)(7.) Corporation, was incorporated in 1975 for the purpose of establishing a permanent shooting range for the Lima Allen County

More information

2011 SKIF-USA and USF

2011 SKIF-USA and USF 2011 SKIF-USA and USF -National Team Trials and Open Division- Kata and Kumite Registration Form Name: Age: Sex: Rank: Length of Training: Years Months Mailing Address: Street City State Zip Email Address:

More information

2018 Windermere Centralia 4th of July Parade Parade Theme: "Creative Liberty Registration Form. Name: Company, Organization or Business Name:

2018 Windermere Centralia 4th of July Parade Parade Theme: Creative Liberty Registration Form. Name: Company, Organization or Business Name: 2018 Windermere Centralia 4th of July Parade Parade Theme: "Creative Liberty Registration Form Contact Information Name: First Company, Organization or Business Name: Contact Phone: Cell Phone: Email:

More information

Please complete the questionnaire below and attach a current color photograph.

Please complete the questionnaire below and attach a current color photograph. Please complete the questionnaire below and attach a current color photograph. Return your application, along with $60 registration fee, to the Jacksonville Sharks. Fax: 866.611.2116 *** If you choose

More information

Australian Canoeing. Team Members Bylaw. Adopted by the Board 31 October Bylaw #19. Australian Canoeing PO Box 6805 Silverwater, NSW 2128

Australian Canoeing. Team Members Bylaw. Adopted by the Board 31 October Bylaw #19. Australian Canoeing PO Box 6805 Silverwater, NSW 2128 Australian Canoeing Team Members Bylaw Adopted by the Board 31 October 2012 Bylaw #19 Australian Canoeing PO Box 6805 Silverwater, NSW 2128 Tel: (02) 8116 9727 Fax: (02) 8732 1610 Web: canoe.org.au 1.

More information