Cleburne County Shooting Club
P.O. Box 1138
Heber Springs, AR  72543

Fostering knowledge, training, safety and fun in sport shooting!

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Trap / Skeet Pre-Registration Form

Pre Registration     

Name:__________________________________    Class: ______

Mailing address:________________________________________

City, State, Zip: ________________________________________

Area Code and Phone number: ____________________________ 

Squad choice:    _______        _______        ________        _______


Signature_________________________   Date ____________


Return this form and entry fee to:

Shotgun Director CCSC
P.O. Box 1138..
Heber Springs, AR 72543

You will be notified by telephone of your squad and shooting time.

Fees will not be refunded after start of match!