2019 Spring North Carolina 4-H Shootings Sports Workshop
March 29-31 Online Registration Form
Email address *
Workshop cost is $125 Registration deadline is March 15th
Please make checks payable to Millstone 4-H Camp, 1296 Mallard Dr. Ellerbe, NC 28338. This pays for room and food. Conformation will be emailed after registration deadline.
First name *
Your answer
Last name *
Your answer
Male or Female
Email *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Cell Phone
Your answer
Home Phone
Your answer
Please rank your first, second, and third choice of discipline area (note: you will participate in only one discipline throughout the entire weekend long training) Any discipline may be cancelled within one week of the workshop start date if an instructor cannot be located, or if registration for a discipline is low. It is important to list and rank up to 5 disciplines. Please select on a scale from 1 to 5 which disciplines you would like take. 1= very interested 5= not interested
Archery
Rifle
Muzzleloading
Shotgun
Hunting
Pistol
Please list the county in which you are registered to be a 4-H volunteer *
Your answer
Please inform 4-H agent in county you are registered in that you will be attending workshop.
Signature of Applicant (Please type your full name) *
Your answer
Any food allergies or special needs?
Your answer
Tentative Workshop Schedule
Friday March 29

6:00pm – Check-in
6:30pm – Supper
7:15pm – Risk Management
9:00pm – Dismiss into discipline Breakout
10:00pm – Return to Cabins

Saturday March 30

7:00am – Breakfast
8:00am – Discipline Training
12:00pm – Lunch
1:30pm – Discipline Training
6:30pm – Supper
7:00pm – Discipline Practical
9:00pm - Return to Cabins

Sunday March 31
7:00am – Breakfast
8:00am – Discipline Practical
10:30am – Wrap-up
11:00 Depart

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