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:___________________________________
Please circle one:

Open division

Male

Female

Ladies division

Address: ____________________________________________________________
City:_____________________________

State: _________

Club Name: _________________________________

Home Phone: ________________________

Zip: ____________

County: _________________

Cell: ______________________________

Email: __________________________________________________________________
Date of Birth: ___________________
Junior (8-10)

Age on Aug 31, 2014 _____________________

Intermediate (11-13)

Novice I (8-10)

Senior I (14-15)

Senior II (16-18)

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 April 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:
DAnn Rogers
2205 Eastridge Ln
Madisonville, Tx 77864
Questions? Call DAnn 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 nonDenominational 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:

DAnn 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
3307 East Main Street
Madisonville, TX 77864
(936) 349-1700
http://www.book.bestwestern.com

Carefree Inn Madisonville

3305 East Main Street
Madisonville, TX 77864
Phone: (936) 348-3606
http://www.carefreeinnmadisonvilletx.com

Budget Motel
203 I-45 North
Madisonville, TX 77864
(936) 348-9222

Western Lodge
2007 East Main Street
Madisonville, TX 77864
(936) 348-7654

The Woodbine Hotel and Restaurant

209 North Madison Street
Madisonville, TX 77864
(936) 348-3333
http://www.Woodbinehotel.com

Home On The Range RV Park

3239 I-45 South
Madisonville, TX 77864
(936) 348-9470
http://www.homeontherangervpark.com