Name *

First Name

Last Name

Phone *

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Choose your level of participation below. Upon clicking on the "Register" button your information will be sent to us and you will be redirected to our "Donation Page." *

You may pay one of 3 ways: 1) Online via credit card at our "Donation Page" by choosing "Fall Blast" under Fundraisers 2) By check through US mail to LCCC, 188 Macartney Lane, Ligonier, PA 15658 3) Calling the camp and we can gather payment over the phone

Foursome & Clay Station Sponsor ($600)

Foursome ($500)

Individual Shooter ($125)

Clay Station Sponsor ($200)

Shotguns are available to rent for $10.00 for the day, please mark below if you'll be needing one and add $10 to your payment.

Yes, I would like to rent a shotgun for the day.

No, I do not need one, I will be bringing my own.

Name *

First Name

Last Name

Radio

PRIME SPONSOR

FOURSOME

INDIVIDUAL SHOOTER