Text Box: Creek County Archer’s 
CCA Shootout
September 2010 
Text Box: Home

                                                           CCA Shoot Out

                                       INDIVIDUAL PRE REGISTRATION ENTRY FORM
                                                    (Pre-Registration ends August 21st)

 

Name                                                                                                                                                          

Address                                                                                                                                             

City                                                                                                 State                  Zip                    

Phone Number                                                    E-Mail                                                                  

Registration: (You may enter only one class)

Class                                          Entry Fee               Stake Color                                                             

Pro Classes

$ 100.00

Black    (50 yards)

 

 

Open

$ 30.00

White    (45 yards)

 

 

Hunter

$ 30.00

Red       (40 yards)

 

 

Women’s Open

$ 30.00

Red       (40 yards)

 

 

Women’s Hunter

$ 30.00

Blue      (30 yards)

 

 

Traditional Long Bow

$ 30.00

Yellow   (25 yards)

 

 

Traditional Recurve Bow

$ 30.00

Red        (25 yards)

 

 

Young Adult (15-17)

$ 15.00

Red        (40 yards)

 

 

Youth (13-14)

$ 15.00

Blue       (30 yards)

 

 

Senior Eagle (11-12)

$ 10.00

Yellow   (25 yards)

 

 

Eagle (9-10)

$ 10.00

Green     (20 yards)

 

 

Junior Eagle (6-8)

$ 10.00

Orange   (15 yards)

 

 

Pros may not compete in amateur divisions for any reason ,Trophies must be awarded to all Youth classes

$5.00 from each adult class entry fee is sent to CCA. ,All entry fee amounts above $15.00 must be applied to a payback

Refer to the 2010 CCA   Rules of Competition.


Assumption of Risk

I, the undersigned, do hereby release Creek County Archers  , all CCA personnel and the Host Organization from liability for any losses, damages, or personal injuries occurred by myself while participating and /or viewing an CCA event.  I agree to abide by all rules and regulations for this competition and fully understand and acknowledge that archery tournaments, as other outdoor activities, involve certain inherent risks. I hereby attend and/or participate in this event with full knowledge of those risks.

 

Signed                                                                                          Date                                                           

 

(This form is to be retained on file by the CCA )

Text Box: Please Print  a copy of the Pre-Registration and Fax Form and Payment