Sponsored by LifeBuilders and Peace Church

Please fill out all of the information below, cut at the line and send it with a check to:

Kurt Loosenort 2799 Brisam NE, Grand Rapids, MI 49525 kapnkurt@comcast.net

AFTER 3/16, BRING FILLED OUT REGISTRATION AND CHECK TO EVENT (arrive by 12:45)

**Note areas where we need help, ie. 16 shooting station coaches, targets etc.

Name: ____________________________________ Guests/Children:_________________ Age: _____

Address:____________________________________ _________________ Age: _____

_________________________________ zip_________ _________________ Age: _____

Phone: H___________________cell_________________ @$ 5/person =$________

Email: ________________________________________

I will bring: ___ targets; ___ swingers, ___ wood blocks, ___ bowling pins, __ clay pigeon thrower

: ___my own gun and ammo, ___ shotgun , ___ pistol ___(cal), ___.22 rifle, ___rifle

**I will help: ___ coach a shooting station, ___ set up targets etc. at noon, ___ clean up, ___ other