First Annual “Honor the Heroes”
Sporting Clays Benefit Shoot
Saturday, September 26, 2009
Help us support retired Veterans in nursing homes. 100% of the profits will be used to support our Veterans.
Tenoroc, 3755 Tenoroc Mine Road in Lakeland
Registration and Continental breakfast at 7:30 – 8:45 am
Shotgun Start at 9:00 am – Catered Lunch at 12:30 pm
REGISTRATION FORM
Entry Fee per Team: (up to 4 Shooters)
Includes: 10 Stands / 100 Shot Round (Shooter provides Shells)
Entry Fee Includes: Continental Breakfast, Awards Lunch and Sporting Clays Gift Bag
Sporting clays Team Entry Fee (4 Shooters) $300.00 $______________
Individual Shooter $ 80.00 $______________
Mulligans $5.00 each or 3 for $10.00 $______________
Gun Raffle - Ruger 1022 (only 52 tickets sold) $10.00 each $______________
TOTAL $ _____________
If you need to rent a loaner gun for the event please contact Tenoroc directly at 863-666-2500.
Registration Must Include Check Payable to Operation Patriot, Inc. or Credit Card:
Send to Operation Patriot, P. O. Box 2443, Brandon, Fl 33509
Please charge my Visa, MasterCard, Discover or American Express Card #_______________________________________
3 digit security number (back of card) __________
In the amount of $ _________________
Name as it appears on the card: ____________________________________
Exp. Date:_________
Signature: ________________________________________________________________
Rules and Waivers Must Be Signed By All Shooters Prior to Event. Shooters to provide eye and ear protection.
Team Captain Name:_________________________________________________________
Company Name: ___________________________________ Phone: __________________
Company Address: __________________________________________________________
City: ______________________State: __ Zip: _______ E-Mail ____________________
Shooter #1: ________________________________ E-mail __________________________
Shooter #2: ________________________________ E-mail __________________________
Shooter #3: ________________________________ E-mail __________________________
Shooter #4: ________________________________ E-mail __________________________
Extra (5th) Shooter: __________________________ E-mail _________________________
PLEASE PRINT AND COMPLETE THE REGISTRATION FORM.
MAIL TO OPERATION PATRIOT, P.O.BOX 2443, BRANDON, FL 33509.