Your Name (required)

Your Address (required)

Telephone Number (required)

Your Email Address (required)

Participants Age (required)

(Those under 18 must be accompanied by a parent or guardian)

Ages 12-13 will shoot rifle and shotgun only; 14+ will shoot pistol, rifle and shotgun.
12 to 1314 to 1718 and over

Date of Birth (required)

Name of Parent or Guardian

(Required for participants under 18 years of age)

Which session did you sign up for?

9:00 am10:30 am12:30 pm2:00 pm

How did you hear about Women On Target at the Blue Ridge Cherry Valley Rod and Gun Club?

Special Requirements / Anything you think we should know?

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