Lefthanders Gun Club

Youth Shooters Application

This application is for registration in the Lefthanders Youth Shooting Group.

The group teaches young shooters the art of target and competition shooting and firearms safety.

WHEN? The first Saturday of each month starting with April  ending November

Firearms used 22.cal bolt-action rifle, 22.cal pistol, and, 410-gage to 12-gage shotgun

TIMES are 9:00 am at Lefthanders Gun Club

Maps and Directions are at www.lefthandersgunclub.com

Fill out the application form and mail it in to:

 

Address: Lefthanders Gun Club

1054 Centre

Springfield, IL. 62704

 

Parent: ____     Guardian: ______

 

Printed name of Parent or legal guardian_______________________________________

 

Address: _________________________________ Phone number: _____-_____-______

 

Parent or legal guardian must sign: __________________________________________

 

Date: ________________

 

Young shooters name: ____________________________________________________

 

Age: ________ (6 TO16) Sex: ______________ Left or Right handed ____ L ____ R

 

Address: _______________________________________________________________

 

Contact phone numbers for Parent or Legal Guardian

 

Home phone number: ____-_____-_________

 

Cell phone number: ______-______-________

 

For further information call 217-241-5385