2008 Roundup Guest Application
Dates: June 21st and 22nd
Please complete the required information and forward your check to your Director. The fee for the Mt. Al's Roundup 2008 is $125.00. Roundup and Sporting Clays is $165. Make checks payable to "Mt. Al's Roundup".
We regret that no refunds can be made unless this application is withdrawn before June 8th. In submitting this application it is understood that the applicant will camp overnight, exhibit sportsmanship and common courtesy to all fellow participants.
Completion of this application does not guarantee your attendance to the Mt Al's Roundup. All applications are subject to the approval of the Director you are a guest of. Special consideration will be given to those who have attended previous years.
Full Name:
Address:
City:
State:
Zip:
Telephone:
Email:
Business/Profession:
Age:
Where Born?
Is this your first guest application for Mt. Al's Roundup?
Yes
No
If no, what years attended?
You were a guest of:
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:
Select One
Anthony Giuliani
Bill Dierker
Bill Moberger
Christopher Anderson
Dave Brutzer
Franz Geiger
George Cleary
Jack Kreber
Jeff Geiger
Joe Hull
Kevin Flynn
Larry Clark
Pat Kelly
Pete Armstrong
Phil Fibelkorn
Reagan Rodriguez
Richard Roy
Tom Van Cleef
Tony Daragona
Tony Valentine
Willis Kirkbride
I plan on participating in the sporting clays competition:
Yes
No
Beginner
Intermediate
Experienced
I intend to use my own shot gun:
Yes
No