Madison County 4-H Whiz Bang

April 18 – 19, 2015 Please fill in the form on the computer then print it out on your printer, or you can print a blank copy of this form and fill in the information by hand. Either way, please mail the completed form with payment to the address listed at the bottom of the page.

Shooters Name:___________________________________ Male Female

Please circle one: Open division Ladies division Address: ____________________________________________________________

City:_____________________________ State: _________ Zip: ____________

Club Name: _________________________________ County: _________________

Home Phone: ________________________ Cell: ______________________________

Email: __________________________________________________________________

Date of Birth: ___________________ Age on Aug 31, 2014 _____________________

Junior (8-10) Intermediate (11-13) Senior I (14-15) Senior II (16-18)

Novice I (8-10) Novice II (11-14)

Novice I & II (75 targets) $45 (shoot on Saturday)

Juniors (150 targets) $80 (shoot on Saturday)

Intermediate (150 targets) $80 (shoot on Saturday)

Senior I & II (150 targets) $80 (shoot on Sunday)

Total $__________

REGISTRATION FORMS AND MONEY MUST BE RECEIVED BY Ap ril 4, 2015. SHOOT IS LIMIT TO FIRST 85 SHOOTERS EACH DAY

Make Checks payable to: Madison Co. 4-H Shotgun Club. Send registration forms and checks to: D”Ann Rogers 2205 Eastridge Ln Madisonville, Tx 77864 Questions? Call D”Ann Rogers 936-349-6168 or email: drogers@madisonvillecisd.org

Madison County 4-H Whiz Bang April 18 – 19, 2015

Events: Trap, Skeet, Whiz Bang 50 Targets each event in classes except Novice 25 Targets each event in Novice Class Classes: Junior, Intermediate, Senior I, Senior II, Novice I, Novice II Awards: 9 BUCKLES AWARDED: HOA NOVICE (1 buckle for Novice Class) HOA JUNIOR (Open Class & Ladies Class) HOA INTERMEDIATE (Open Class & Ladies Class) HOA SENIOR 1 (Open Class & Ladies Class) HOA SENIOR 2 (Open Class & Ladies Class) Awards for 1st through 6th for each event in each open class division Awards for 1st through 3rd for each event in Ladies class division Ladies must choose Ladies Division or Open Division Location: Madison County Gun and Archery Club, Madisonville, Texas From Madisonville (I-45 & 21) go east on 21 two miles to FM 1428

and take a right. Go 2.6 miles to County Road 123 and take a left. Follow CR 123 2.3 miles to Range.

Time: Check in Begins at 7:30 am. Events begin at 8:30am. Safety

Orientation will be given prior to shooting each day. Sunday a non- Denominational service at approximately 8:00 am at range.

Registration Fee: $80 for Junior, Intermediate, Senior I and Senior II $45 for Novice I and Novice II $25 late fee for any late registrations Cancellations: Cancellations by April 4th, 2015 will receive a full refund. Cancellations after

April 4th will have $25 cancellation fee deducted. Money will be refunded after the event date. Returned Checks: In the case of a returned check, an additional $30 will be charged Lunch: Lunch, Drinks and Snacks will be available for purchase Motorized Vehicles: No motorized shooting carts or ATV vehicles will not be allowed at the range Contact Info: D’Ann Rogers 936-349-6168 Email: drogers@madisonvillecisd.org

REGISTRATION FORMS AND MONEY MUST BE RECEIVED BY April 4, 2015 LIMIT TO FIRST 85 SHOOTERS EACH DAY

Madison County 4-H Whiz Bang April 18 – 19, 2015

Tie Breakers: All events will have the tie settled by a shoot off or by shooting management Parent/Coach on fields: No coaching will be allowed while the youth shooter is on the field or

in the cage during events. For safety reasons, parents will not be allowed on the skeet or trap fields. Failure to adhere to this rule will result in the disqualification of the youth shooter affiliated with that adult for that event. On the Whiz Bang fields, spectators, parents or coaches will maintain a respectable distance from the shooting cages to allow the referee room to officiate the match. At no time may the parent, coach or spectator interfere with the duties of the referee. Failure to respect this will result in the disqualification of the youth shooter affiliated with that spectator, parent or coach. Continued failure to adhere to these rules will result in the expulsion of the parent, coach or spectator.

Protest Procedure: Protest should be initiated immediately to the field referee and can only be

nitiated by the shooter. No protest will be accepted from parents and/or coaches.

4-H Enrollment: This is a 4-H event; therefore all entrants must be members of a Texas 4-H Club for the current year.

Code of Conduct: The current 4-H Code of Conduct will be enforced both on and off the field during this event. Shooters, volunteers, family members or observers may be expelled from the event, match or grounds for failure to comply. Shoot management reserves the right to refuse future registration to any shooter who does not comply with the current 4-H Code of Conduct.

Safety Violations: Safety violation will result in disqualification of shooter. Shot Size: No Shot loads larger than 7 1/2 or smaller than 9.

Lodging Information: Best Western Executive Inn & Suites Carefree Inn Madisonville 3307 East Main Street 3305 East Main Street Madisonville, TX 77864 Madisonville, TX 77864 (936) 349-1700 Phone: (936) 348-3606 http://www.book.bestwestern.com http://www.carefreeinnmadisonvilletx.com Budget Motel Western Lodge 203 I-45 North 2007 East Main Street Madisonville, TX 77864 Madisonville, TX 77864 (936) 348-9222 (936) 348-7654 The Woodbine Hotel and Restaurant Home On The Range RV Park 209 North Madison Street 3239 I-45 South Madisonville, TX 77864 Madisonville, TX 77864 (936) 348-3333 (936) 348-9470 http://www.Woodbinehotel.com http://www.homeontherangervpark.com