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Eligible Participants: Iowa 4 H Shooting Sports State Match /National Qualifier Sunday, August 26, 2018 Brownell s Big Springs Range, Searsboro, Iowa Check in at 8:00 a.m. until end Awards Program to follow Counties that have state recognized 4 H Safety and Education in Shooting Sports (SESS) programs can send young people (leaders must have 4 H Shooting Sports training at a state or national 4 H Shooting Sports workshop). Youth must be 4 H club members in good standing and have a minimum of 10 hours of supervised instruction by a 4 H Certified Shooting Sports Leader that includes both classroom and range events. Youth must be 4 th grade in spring 2017 18 or older to compete in riflery or archery and 12 years of age or older on August 26th to compete in shotgun and muzzleloader. All shotgun shooters must have shot a minimum of 50 targets on a regulation trap range. Required: Contestants are responsible for providing their own ammunition and equipment, including safety glasses and ear protection. Air rifles must have a clear barrel indicator (CBI). Smallbore rifles must have an empty chamber indicator (ECI). Shooters should have range mats and kneeling rolls for riflery. Contestants in shotgun must have shell pouches or vests. Archers should have hip quivers. Coaches are responsible for handling and delivering all ammunition to and from the event. The required ammunition target loads are described on the website under rules. The coach from each team is required to deliver all ammunition to the range officer or check in location. Targets, score cards, and other range equipment will be provided. Youth must be accompanied by their 4 H SESS volunteer leader. Age categories: Senior participants (9 th, 10 th, 11 th, or 12 th graders in spring of 2017 2018 school year) Intermediates (7 th and 8 th graders in the spring of 2017 2018 school year) Juniors (4 th, 5 th, or 6 th graders in the spring of 2017 2018 school year) Discipline Events: Rules for shooting disciplines are currently being reviewed. When revised, they will be posted on the 4 H SESS website (http://www.extension.iastate.edu/4h/projects/shootingsports/sessevents.htm) in the box on the right under State Youth Match Rules. Registration Information Participants may shoot in 2 disciplines depending on final registration numbers. The entry cost is $25 per person for juniors, intermediates and seniors not participating in the shotgun discipline. Shotgun participants will need to pay an additional $5 to cover the cost of targets. This entry fee does not include lunch. Food Stand is provided by Poweshiek County Extension. All proceeds go to 4 H Nature Club. Air Rifle will be held at PCSA (Poweshiek County Sportsmen s Association). Participants must submit their completed Registration Form online, have the Medical Information/Release Form current in 4 H online, Brownell s Big Springs Range Waiver, and work with their county extension office on payment. NOTE: All information needs to be current in 4 H online as we will print the Medical Information/Release Form to have on file at the event. The county extension office can complete each registration form online and send in payment at one time (made payable to Iowa State University) on or before the postmark registration deadline, to Registration Services/Shooting Sports Registration Iowa State University 1601 Golden Aspen Dr. Ste 110 Ames, IA 50010 Address questions about State Shoot Patty Gibler (gibler@iastate.edu or 515 294 5939). Questions regarding online registration contact Shannon McCormick smccorm@iastate.edu 515 294 6222

Iowa 4 H Shooting Sports National Qualifier In order to qualify to participation in the 2019 SESS National Championship participants must be at least 14 years old but not more than 19 years old on January 1, 2019. Participants are only able to attend a National Invitational one time for that given discipline and can only attend one discipline a year. If a participant qualifies in more than one discipline they must choose the discipline to participate in at the National Invitational. Iowa will invite the top 4 individuals in each discipline to attend the 4 H Shooting Sports Invitational event that will be held in Grand Island, Nebraska, June 23 28, 2019. If a youth chooses not to participate in National Championship the invitation will move to 5 th, 6 th places. Iowa 4 H will cover registration fee for the team. Families are responsible for travel and lodging expenses. *Please note: Mathew Genesis event will not be considered for National Invitational. If you are 14 years old by January 1st, 2019 and want to be considered for the National Invitational you must register as Compound. 4 H Shoot Location : Big Springs Range near Montezuma, IA From Montezuma: take County Road F57 west approximately 7 miles; turn right on Highway 146, continue west for about 1 mile. The entrance to Brownell s Big Springs Range is currently identified by a white house and red machine shed on the north side of the road. (A map of the area is included in this packet.) From I 80: exit 182, south on Highway 146 for 9 miles, east on Highway 146 for about one mile. The range is on the north side of the road. From Oskaloosa: take US Highway 63 north to New Sharon. At New Sharon, take state highway 146 north for about 8 miles and west on Highway 146 for about 1 mile. The range is on the north side of the road. Indoor Air Rifle: At PCSA Drive 4 mi. west of Montezuma on Diamond Trail Road to county road 100th St. (opposite entrance to Lake Ponderosa marina tall cell tower at corner). Left on 100th (gravel) 3/4 mile to driveway on left with sign for the range. E911 Address is: 4975 100th Street Tentative Agenda Saturday, August 26, 2017 8:00 8:45 a.m. Check in begins at Big Springs Range (location near the red building) All contestants must arrive 1.5 hours before shoot time. 9:00 a.m. Morning activities begin 12:00 1:00 p.m. Lunch break (or when a squad is finished close to this time) lunch not provided 1:00 p.m. Afternoon program begins (If there is a tie, a tie breaker round will be held before Awards. If a youth is not present for tie breaker, he/she will be placed behind other contestant.) Awards to follow the completion of event competition Note: Depending on weather or large registration, the match management may need to limit participation to one discipline. As more details become available, they will be posted on our 4 H SESS website (https://www.extension.iastate.edu/4h/shooting sports activities and events)

List of Area Accommodations (Registration/Payment Responsibility of Participant) Lynnville Old Mill Riverside Inn 202 East Street Lynnville, Iowa 641/527 2300 Montezuma Cozy Country Inn 309 N. Front Street Montezuma, Iowa 641/623 5505 Camping Diamond Lake 4896 Stagecoach Road Montezuma, Iowa 641/623 3630 Union Mills Access 1355 Parkin Avenue New Sharon, Iowa 641/673 9327 Robertson s Access New Sharon, Iowa 641/623 3191 Grinnell Super 8 Motel 2111 West Street S 641/236 7888 Country Inn and Suites 1710 West Street South 641/236 9600 Comfort Inn and Suites 1630 West Street South 641/236 5236 Quality Inn 1902 West Street South 641/236 6710 Best Western Pioneer Inn 2210 West Street S 641/236 6116

BIG SPRINGS SHOOTING RANGE From I 80 E or W: Take Grinnell Exit, Exit 182. Turn South on Hwy 146. Bear left to stay on Hwy 146 at junction with County road F62, approximately 8.7 miles from I 80. Stay on Hwy 146 for 1.2 miles. Range will be on your left. Note: Using Google Maps and searching for the address 5015 Highway 146, Searsboro, IA 50242, will get you a pointer right by the range gate. It s not the correct range address, but using the correct address, of course, doesn t work on Google Maps or in most vehicle GPS systems. PCSA, Poweshiek County Sportsmen s Association (Air Rifle Competition) From Big Springs Shooting Complex, exit left out the driveway and go approx. ¾ miles to F 57. The sign will say Montezuma. Turn left (East) and go approx. 3 miles to 100th Street. The Lake Ponderosa Marina will be on the left corner. Turn Right, (South) on 100th Street and go ½ mile to PCSA.

IOWA 4 H SAFETY & EDUCATION SHOOTING SPORTS PROGRAM EXTENSION & OUTREACH 4 H YOUTH PROGRAMS IOWA STATE UNIVERSITY 4 H EXTENSION YOUTH BUILDING 1259 STANGE ROAD AMES, IA 50011 515 294 5939 Iowa Parental Permission/Waiver of Liability I, the parent (legal guardian) of, grant permission for his/her participation in the 4 H SESS program; and approve of the use of firearms, live ammunition, and/or archery equipment while participating under the supervision of a 4 H certified SESS leader. I understand that the shooting sports are potentially hazardous activities, and certain risks are involved with this activity. These potential hazards include gunshot or archery wounds and can result in paralysis, loss of vision, limb, or life. I agree that participation in this activity is entirely voluntary and agree that I will not hold the 4 H project leaders, County Extension Council, State 4 H staff, local extension staff, Iowa State University Extension, or Iowa State University liable for any accidents. I also understand that safety procedures and practice will be strictly adhered to and that our child (guardian) may be immediately expelled, without recourse, from the program as a result of horseplay, inattentiveness, inappropriate conduct, violation of safety rules, or failure to follow the range officers directions. Signature of Parent or Guardian Date Iowa State University Extension and Outreach does not discriminate on the basis of age, disability, ethnicity, gender identity, genetic information, marital status, national origin, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, or status as a U.S. veteran. (Not all prohibited bases apply to all programs.) Inquiries regarding non-discrimination policies may be directed to Ross Wilburn, Diversity Officer, 2150 Beardshear Hall, 515 Morrill Road, Ames, Iowa 50011, 515-294-1482, wilburn@iastate.edu.

RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT YOUTH AGREEMENT In consideration of the permission extended to me by BIG SPRINGS, LLC to use its Firearms Range for any or all of the following purposes: to use the Firearms Range; to participate in instruction in the use of firearms or ammunition, if any; firing firearms upon or within the range; spectating others in the use of the Firearms Range; or any other operation incidental to the use of being present, near, at, upon or within the Firearms Range; and for the other good and valuable consideration, hereby acknowledge, I, parent of knowingly, freely and voluntarily fully and forever releases, and discharges BIG SPRINGS, LLC, its officers, agents, employees, servants, successors, assigns and all persons whosoever, directly or indirectly, liable from any and all liability claims, causes or actions, and damages in any way, resulting from any personal injury, losses, or damages sustained by me, caused by or arising out of the ownership, operation, use, maintenance, administration, or control of said Firearms Range, meaning and intending to include herein all such personal injuries, conscious suffering, death or property damage resulting from or any way connected with or arising out of any use incidental thereto. I fully understand that my participation in this activity could result in personal injuries, conscious suffering, and death or property damage to myself or others. Signature: Dated: Witness Signature:

CONCESSIONS Breakfast Juice, Coffee Doughnuts Lunch Loose Meat Sandwiches Walking Taco's Hot Dogs Chips Homemade bars for desserts Drinks Diet Mt. Dew Mt. Dew Pepsi Water Gatorade Assorted Candy All Proceeds goes to the 4-H Nature Club