SASS 2024 Illinois State Championship Registration – International Version Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Alias (Required) *SASS Number (Required) *Email (Required) *Name (Required) *FirstLastStreet Address (Required) *City (Required) *Country (Required) *Phone Number (Required) *——————————————————-Are you bringing your own guns and ammo *NoYesWould you like us to provide you with a letter documenting your participation in a SASS-sanctioned shooting event to submit with ATF form 6 NIA? *NoYesPlease describe the caliber size and shotgun preferences, e.g., 38 special, 45, SxS, '97 Pump *We will contact you to confirm the details. We’ll do our best to accommodate your specific requests. ——————————————————- Shooter Type (Required) PLEASE SELECT ONLY ONE *Primary – $ 125.00Spouse – $ 95.00One Shooter Per FormMale/Female (Required) *MaleFemaleCategory (Required); CHECK ONE CATEGORY ONLY *Cowboy/Cowgirl (Any Age)Wrangler/Lady Wrangler (35+)Forty-niner/Lady Forty-niner (49+)Senior/Lady Senior (60+)Silver Senior/Lady Silver Senior (65+)Elder Statesman/Grand Dame (70+)Cattle Baron/Cattle Baroness (75+)El Patron/Patroness (80+)El Rey/La Reina (85+)B-Western/Lady B-Western (Any Age)Classic Cowboy/Classic Cowgirl (Any Age)Duelist/Lady Duelist (Any Age)Duelist; Senior/Lady Senior (60+)Duelist; Silver Senior/Lady Silvier Senior (65+)Duelist; Elder Statesman/Grand Dame (70+)Duelist; Cattle Baron/Cattle Baroness (75+)Gunfighter/Lady Gunfighter (Any Age)Gunfighter; Senior/Lady Senior (60+)Gunfighter; Silver Senior/Lady Silver Senior (65+)Gunfighter; Elder Statesman/Grand Dame (70+)Frontiersman/Lady Frontiersman (Any Age)Frontier Cartridge/Lady Frontier Cartridge (Any Age)Frontier Cartridge; Duelist/Lady Duelist (Any Age)Frontier Cartridge; Silver Senior Duelist; Lady Silver Senior Duelist (65+)Frontier Cartridge Gunfighter/Lady Gunfighter (Any Age)Working Cowboy/Working Cowgirl (Any Age)Posse With Requests (Optional)——————————————————-Are you bringing a non-shooting guest to the Awards Banquet? *NoYesThe Awards Banquet luncheon is included in the registration fee for registered shooters. Click “Yes” only if you are bringing guests. Extra Sunday Banquet Tickets (Optional) *1 Extra Lunch – $ 20.002 Extra Lunches – $ 40.003 Extra Lunches – $ 60.004 Extra Lunches – $ 80.00Please indicate the number of non-shooting guests that will be attending the Awards Banquet with you. There is a $20 fee for each additional guest to cover the cost of the meal. T-shirts (Optional)One T-shirt – $ 20.00Two T-shirts – $ 40.00Enter Desired T-shirt sizes below: Small, Med, Large, X_Large, XX-Large, XXX-Large *SASS Scholarship (Optional)$5$10$20RO Status (Optional)I am an RO1I am an RO2I am willing to be a TODo you plan to camp? *NoYesIF YOU PLAN TO CAMP, PLEASE INDICATE YOUR TRAILER/RV SIZE AND WHEN YOU PLAN TO ARRIVE IN THE NEXT SECTION.If camping, please indicate your trailer/RV size and when you plan to arrive in the box below. *Waiver and Release (Required) *I have read, understood, and agree to the Release, Indemnification, and Hold Harmless Agreement whose terms are written below.MILAN RIFLE CLUB, INC. RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT In consideration of participating in gun club activities, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence the Milan Rifle Club, Inc. and its directors, officers, members, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows: 1. I acknowledge that gun club or hunting activities involve known and unanticipated risks, which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, death or serious injury as a result of being shot or as a result of equipment malfunction; hearing loss; loss of vision; broken bones, bruises and other bodily injuries caused by falls; medical conditions resulting from physical activity, and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity. 2. I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation. 3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 4. I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition that could interfere with my safety in this activity, or else I am willing to assume- and bear the costs of – all risks that may be created, directly or indirectly, by any such condition. 5. In the event that I file a lawsuit, I agree to do so solely in the state where Releasees’ facility is located, and I further agree that the substantive law of that state shall apply. 6. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. By signing this online form, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms. PARENT OR GUARDIAN ADDITIONAL AGREEMENT: Applies to all minors under the age of 18 In consideration of any minors accompanying me and being permitted to participate in this activity either as a shooter or observer, by my signature below I attest I have legal standing to take responsibility for their health and safety and to sign this document on their behalf. Furthermore, I agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of this, or any other minor accompanying me to this event, either as a participant or as an observer.Total$ 0.00——————————————————-Credit Card Info *Submit Share this:FacebookPinterestTwitterLinkedInEmailPrintLike this:Like Loading...