Online Application

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Notice Your company has paid for you to participate in the Marksman category! Any category step-ups or additional items can be selected and purchased on your own.

Are you affiliated with any of the following corporate partners? Construction One Davey Tree TNT Equipment The Cleary Company Other
Name * Address * City * State * Zip *	Cell * Email * Age * Profession	Company (Put N/A if Retired or Not Working) * Are you a military veteran? Yes No If yes, what branch of service? Is this your first guest application for Mt. Al's Roundup? Yes No If no, how many years attended? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

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Rules & Regulations

I understand that no firearms can be brought to the camp unless they are unloaded and surrendered to the Sergeant at Arms. I also confirm that I have received and read the "Ten Commandments of Gun Safety". All camping shall be in tents and campers. I expressly acknowledge and understand that participation in the Roundup and any activity associated with the Roundup is dangerous and involves the risk of serious injury and/or death and/or property damage. I, for myself, my personal representative and heirs, do hereby release, discharge, waive and covenant not to sue Mt. Al's Roundup, its directors, shareholders, agents, employees, officers (the "Roundup") and the property owner from any claim or demand on account of injury to the person or property or resulting in the death of the undersigned, whether caused by the negligence of the Roundup or by otherwise participating in any part of the Roundup and I hereby assume full responsibility for and risk of bodily injury, death or property damage.

Your Director:

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Participation Options:

Event Sponsor (not attending) Infantryman Marksman American Sniper Special Ops

Event Sponsor Donate any amount you would like

Infantryman $135 Attending event, but not shooting clays.

Special Ops $450 By becoming a Special Ops you will be allowed to shoot up to 3 guns depending on the capacity of the magazines at the pistol and rifle ranges. *Includes American Sniper Registration and Sporting Clays. I intend to use my own gun: Yes No How would you describe your skill level: Beginner Intermediate Experienced I need 2 boxes of shells ($34): No 12 Gauge 20 Gauge

Marksman $225 Attending the event and shooting clays I intend to use my own gun: Yes No How would you describe your skill level: Beginner Intermediate Experienced I need 2 boxes of shells ($34): No 12 Gauge 20 Gauge

American Sniper $350 By becoming an American Sniper you will be allowed to shoot more guns at the pistol and rifle ranges and in most cases to shoot full magazines. In addition, you will be given a copy of the #1 New York Times bestseller memoir of U.S. Navy Seal Chris Kyle "American Sniper". *Includes Marksman Registration and Sporting Clays. I intend to use my own gun: Yes No How would you describe your skill level: Beginner Intermediate Experienced I need 2 boxes of shells ($34): No 12 Gauge 20 Gauge

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Add Ons:

.22 Target Pistol Competition, minimum 10 people per gun	$40 X
Black Powder Ticket, limit 10 people	$35 X
Gun Raffle Ticket	$50 X
T-Shirts	$20 X
Hats	$20 X

Anti-Spam Measure *

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Submit and Proceed to Payment

* = required

All charges are subject to a processing fee of 3%. Thank you for your donation.