TIOGA SPORTS PARK ASSOCIATION
FIRST EVER PIN SHOOT 2024
REGISTRATION FORM
There needs to be a registration form for each individual person that is participating. So please fill out the following and either e-mail it back to: Helper99@frontier.comOR mail it to TIOGA SPORTS PARK, P.O. Box 293, Coquille, OR 97423.
__________________________________ __________________________________
Full Name
__________________________________
Type of firearm(s) that will be used
Child? __ Adult? __
Printed Name (If Parent/Guardian’s also print name)
_______________________________________ ________________________________
Street Address Best number to be reached at
______________________________________ __________________________________
City and Zip e-mail address:
SPECIAL NEEDS: (Please specify if you or your child have any special medical needs that we should know about.:
__________________________________________________________________________________________
_________________________________________________________________________________________________________
NOTE: All children must be accompanied by a parent/guardian at all times. All shooters need to have ear and eye protection. So please plan accordingly. Any accompanying adults must have ear protection as well.
AS WELL, PARKING IS LIMITED AT THE RANGE. PLEASE CONSIDER CARPOOLING.
__________________________________________________________________________________________
FOR OFFICE USE ONLY
Date Received _________________
Registration No.________ Division:_______ Shooting Time:___________
(4/11/24)
