8th Annual TLCF, Inc Memorial 100 & Fundraiser
Sunday, September 12, 2010
Hosted by the Minnesota Horse & Hunt Club, Prior Lake, Minnesota
2920 E. 220th Street, Prior Lake, MN  55372


Pre-regististration is requested

Contact Name
Address
City
State
Zip
E-mail
   
Work Phone

 Event/s:                                                                                                             Qty__                Amount Due
Individual Sporting 100 Target Event                                                           
        *$85.00 + NSCA and MSC fees if registering targets  
        *$70.00 for participants 17 years and younger

50 target Sporting Team Challenge                                                                
        *$45.00 + NSCA and MSC fees if registering targets   
        *$37.50 for participants 17 years and younger

50 target Sporting Fire Department Challenge                                            
        *$45.00 + NSCA and MSC fees if registering targets  
        *$37.50 for participants 17 years and younger

Full Day Package  (150 targets)                                                                     
        *$105.00 + NSCA and MSC fees if registering targets   
        *$87.50 for participants 17 years and younger

Shooter guest dinner ticket/s  $15.00 each                                                  

Dinner/ ticket only   $15.00/individual  adult                                              
    $5.00 children 7 - 11, 6 & under free.

Unable to attend the event - contribution only                                                                                                                                                                                 Total                  

              *your entry includes BBQ dinner. Please add $15.00 for each guest dinner ticket.
NSCA/MSCA fees are .05/target.
               
               

       Team Name    

          Team event: 
Team Challenge    

        Name of shooters on team:
       (Teams of 4 shooters)

        1.             
        2.

        3.

        4.

       



Revised: 08/19/10