8th ANNUAL MONTANA COWBOY ACTION CHAMPIONSHIP

ENTRY/REGISTRATION

July 9-11, 2004, Simms, MT

(Fill in appropriate boxes and print)

CATEGORY: check one of the listed categories, then type in your preferred category in “Other”, if not listed):

TRADITIONAL           MODERN             DUELIST   BLACK POWDER                  LADIES TRADITIONAL LADIES MODERN             SENIOR 60+     JUNIOR (12-17)                   LIL BUCKAROO (under 12)  49r   Other: (if there are 3 shooters, then this category will be added)
	Alias: SASS# Name:  Address: City:   State:  Zip:   Telephone: - E-Mail Address:
		ENTRY TYPE	FEE – US & Canadian		Amount	Check one US Canada
		MAIN MATCH	$50.00	US	$
			$75.00	Canadian
		SENIOR MAIN MATCH	$40.00	US	$
			$65.00	Canadian
		JUNIOR or LIL BUCKAROO	$40.00	US	$
			$65.00	Canadian
		FAMILY ENTRY (up to 3)	$80.00	US	$
			$120.00	Canadian
			TOTAL ENCLOSED:		$

Saturday Night Dinner is Included in Shooter's Fee!

Make checks payable & send to: Sun River Rangers Shooting Society

1725 – 4^th Ave. N., Great Falls, MT 59401

Liability Release Form

(You must sign and date this form to participate)

I understand that I am participating in a sport, which certain dangers and risks may arise, including, but not limited to accidental injury, the forces of nature, and illness. In consideration of the right to participate in this event and the services provided for me by the Sun River Rangers and it's agents, I have and do hereby assume the risks associated with such an event.

1, the contestant, shall, at my own expense, defend management and or all sponsors, their members, or employees from any and all such claims and indemnify from any and all liability damage and costs arising from injuries to person or property occasioned by any act or omission by me, the Contestant.

Signature of Contestant or in the case of a minor, Parent or Guardian required.

SIGNATURE/DATE

More Info: Hardtack Henry (406) 727-7455 or (406) 731-4416 Email: hardtack@sunriverrangers.com