SATURDAY, JULY 14, 2018 Event Sponsor:

A shooting event for adults & youth

to benefit the Muscular Dystrophy Association!
FEATURING:
•Nebraska Fire Department Sporting Clays State Championship Our Sponsors:
•Corporate Team Competition
•Adult/Youth Team Competition
•Individual Competition
Prizes for 4 places in 4 Lewis Class Divisions - 16 prizes!
*See www.iaff647.org for prize details.
See website for
sponsor updates
IAFF & MDA’s Mission
We’re fighting to free individuals - and the families who love them - from SIDE EVENTS
the harmful effects of muscular dystrophy, ALS and related life-threatening
diseases so they can live longer and grow stronger.
Corporate/Fire Department Teams (Sporting Clays)
OOTING RANGE
OR SH
D INDO
AN
PLY
SUP

ENTRY FEE: $250; Re-Entry $130; entry into individual competition $45 each; Sponsored by Tice at
ammo included. Boop’s Shooter Supply:
• The Judge
Individual Sporting Clays Competition - 2 shots for $5
ENTRY FEE: $70 pre-registered; $80 day of event. Re-entry $45; ammo - 5 shots for $10
included.
• The Flurry
Adult/Youth Teams (Sporting Clays) - Teams of two will
ENTRY FEE: $80 pre-registered; $90 day of event. Re-entry $60; ammo shoot 30 targets
consecutively
included.
Entry fee is $20 per
HEARTLAND PUBLIC SHOOTING PARK person
www.grand-island.com/your-government/parks-and-recreation/heartland-public-shooting-park - Teams of six will
shoot 75 targets
SCHEDULE: consecutively
7:30 am Team and Individual Registration opens (Pre-registrants pick up score cards) Entry fee is $50 per
8:00 am Shoot Starts European Rotation (begin at any station) person
2:30 pm Last squad out for sporting clays
4:00 pm All score cards must be turned in to the scoring table or they will not be counted Proceeds of all Side
4:15 pm Raffle drawing at the refreshment tent Events go to:
4:30 pm Prizes awarded to Teams & Individuals
In case of rain, the event will be held on Sunday, July 15, 2018. To verify rain-out
information, call 308-391-1750

Pre-
Registration How Total REGISTER BY JULY 14, 2018
Event Cost Many? Amount (or Register Online at www.iaff647.org)
INDIVIDUAL & TEAM (Sporting Clays) Name(s)(indicate youth 11-18 yrs old) ____________________________________________
______________________________________________________________________________
Corporate/FD Team (3 on a team) $250/team* _______________
Team Re-entry $130/team _______________ ______________________________________________________________________________
Individual Entry (if from a team) $45/person _______________ Team Members ________________________________________________________________
Individual Entry (adult or youth) $70/person* _______________ ______________________________________________________________________________
Individual Re-entry (adult or youth) $45/person _______________ Contact Address _______________________________________________________________
Adult/Youth $80/team _______________ City ________________________________ State _______________ Zip __________________
Adult/Youth Re-entry $60/team _______________ Email_______________________________________ Phone ___________________________
*Rates for pre-registration prior to July 14, 2018. Type of gun you will shoot (circle one) 12 gauge 20 gauge
Additional $10 for registrations on day of event.
Signatures ____________________________________________________________________
SIDE EVENTS (see more detail above)
The Judge 2 shots/$5 or 5 shots/$10 _______________ Please return registration form to: The 2018 MDA Charity Shoot, Heartland Public Shooting Park and
Jeff Engberg its sponsors assume no responsibility for safety of participants in
The Flurry Team of 2 - $20/person _______________ IAFF Local 647 MDA Coordinator
this event. All participants recognize and agree by their partici-
pation that safety shall be their responsibility and hereby waive
Team of 6 - $50/person _______________ 309 Lakeside Dr. any right to seek recovery for an injury or damage which may be
Grand Island, NE 68801 incurred, either to person or property as a result of or in connection
Golf Cart $50 Raffle tickets 1 for $5 or 5 for $20 with this event or participation therein.
or Call 308-391-1750