Competitive Air Rifle and Smallbore Team
Join the Team

6611 Hunters Run Rd

Harrisburg, PA 17111

Program Director: Chris Harr

Email:  hhaarsb@gmail.com
Phone:  (717) 395-2393

2020-21 Registration Form

Please fill this form completely. Your full name typed in the appropriate boxes will be your electronic signature. This form allows for information of one parent/adult. Additional parents or other contacts who should be added to our notification system, should be listed in the Contact Information box. If you are registering multiple shooters, please complete this form separately for EACH shooter. If you have questions regarding any part of this form, please send an email to hhaarsb@gmail.com. 

New and Returning Shooter Registration
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Shooter's Information
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Shooter's Level of Interest
Has child taken a gun safety course before?
Has child ever shot a gun before? (If so, what type? Check all that apply.)
Does child have any special learning needs? (If so, discuss with Chris so accommodations can be made.)
Primary Adult's Information
Type of Number

Volunteers

Please let us know if you have any experience in shooting, coaching, etc. Are you able to volunteer with the team in any other capacity?

Contact Information

We will be sending emails to the address you entered above. If there is anyone else who should be receiving team emails or text messages, please list their name, email, and phone number. Some competitions ask for both parents to be listed on the liability form. If there is a second parent, please list name, address, phone, and email.

Acknowledgements

Liability Release

I hereby state that my son or daughter has my expressed permission to participate in the Shooter’s Education Program located at Harrisburg Hunters’ and Anglers’ Association, on the required dates as scheduled by the Harrisburg Hunters’ and Anglers’ Association. In granting such expressed permission for the participation of my son or daughter, I hereby, forever, release and discharge the Harrisburg Hunters’ and Anglers’ Association, or its members, and any individual member of the club or any person acting on the behalf of the Harrisburg Hunters’ and Anglers’ Association for and from any and all liability, claims, demands, controversies, actions, and causes of actions on account of any injury, loss or other damage of every kind and nature caused by or resulting from any incident which would occur during the participation of my son or daughter in the aforementioned program. Additionally, I hereby expressly state that in granting permission for participation of my son or daughter in the aforementioned program, I hereby release the Harrisburg Hunters’ and Anglers’ Association or its members, and any individual member of the Harrisburg Hunters’ and Anglers’ Association, or any person acting on the behalf of the Club mentioned from liability arising out of any conduct and/or action of my child during the course of the aforementioned program. I hereby agree that this permission and release of liability, with all the promises contained herein, shall be legally binding upon me, as well as binding upon my child. (Type your full name in the block to acknowledge your agreement.)

Media Release

I, the parent, guardian, or authorized adult acting on behalf of the parent(s), hereby authorize Harrisburg Hunters’ and Anglers’ Competitive Air Rifle team and their successors and assigns to use my and/or my child(ren)’s name, photograph, and/or likeness for any and all advertising in any and all media throughout the world, without restriction as to frequency or duration of usage. No compensation will be paid for this use. I hereby agree that this permission and release, with all the promises contained herein, shall be legally binding upon me, as well as binding upon my child.

Fundraising Agreement

I, the parent, guardian, or authorized adult acting on behalf of the parent(s) understand that as a member of the Harrisburg Hunters’ and Anglers’ Competitive Air Rifle team, I/we will make an attempt to participate in all fundraisers. I/we understand that each shooter is requested to sell a minimum number of items for each fundraiser. If unable to participate in any one fundraiser, a buyout to the team in lieu of the monies that would have been raised may be required. I/we understand that these fundraisers assist in keeping the Competitive Air Rifle program free.

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