Burgers and Boom
Event Address: Starnes Bluff Church, Fort Blackmore, VA 24250
Contact Todd Kirk at todd@isbc.org
Email address
Can you attend?
What is your Name?
Your answer
What is your email (give us one you will check)?
Your answer
What is your phone #?
Your answer
In which events will you participate? (click all that apply)
Required
I understand there is a limited amount of participants on the pistol range and skeet shoot. (30 max. first come, first serve.)
Required
I understand that I cannot use my own weapon on the pistol range.
Required
I understand that I can bring a shotgun and shells for the skeet shoot.
I understand that if I bring a shotgun, it must remain in my vehicle until I go to the range.
I know that I cannot bring a weapon to the event unless it is checked and marked as unloaded at the gate, buy an event representative.
Required
I understand that I will need to fill out a release form for this event before the event date or at the gate.
Required
I understand the no one under 21 Years old can participate in or visit the pistol range. (young folks will need to stay with a guardian of their parent's choosing at the cookout area while their parent participates in the range contest)
Required
I understand that the event cost is $7 per person and will be collected at the gate on the day of the event.
Required
I understand that I must fill this form out for each person in my party.
Required
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of Indian Springs Baptist Church. Report Abuse - Terms of Service - Additional Terms