1. Rotary Club of The Triad 1 st Annual Sporting Clays Classic Friday May 2 nd,2014 Shane’s Sporting Clays 6319-B US Hwy 158 Summerfield, NC 27358 336-643-7168 Proceeds to Benefit: Autistic Children Project, Rotary Scholarship & Leadership Programs Format One round of Sporting Clays (7 different stations) $100 per person 4 person Teams Mulligans $5 each of 5 for $20 Practice Station Prizes Awarded Team Pictures Lunch & Beverages Schedule 11:30a-12:45p –Lunch & Registration 12:45-1:00p – Safety Meeting & Rules 1:00-1:30p – Practice Shots 1:30 - 4:00p – Sporting Clays Classic What To Bring Each team member should bring a 12 or 20 gauge shotgun, ear & eye protection. Ammunition will be provided

2. Rotary Club of The Triad 1 st Annual Sporting Clays Classic 1 ________________________________________________ Team Name Address Member ___________________________________________________________________________ CityState Zip Phone _________________________________________________________ Email Address 2 __________________________________________________________________________________________ ____________________ Team Name Address Member ___________________________________________________________________________ CityState Zip Phone _________________________________________________________ Email Address 3 __________________________________________________________________________ Team Name Address Member ___________________________________________________________________________ CityState Zip Phone _________________________________________________________ Email Address 4________________________________________________________________________ Team Name Address Member ___________________________________________________________________________ CityState Zip Phone _________________________________________________________ Email Address Registration Form Check one: __ Company pays for team Checks to: __ Individual team members make own payment Rotary Club of The Triad For more information & to register on line go to;

3. Rotary Club of The Triad 1 st Annual Sporting Clays Classic  Sponsor: $100ea. Sponsor Name:__________________________ (please provide logo) _________________________________________________________________________________________ Address City State/Zip _________________________________________ _________________________________ Phone Fax Team Captain’s Name: ________________________________________________ Team Captain’s Email: ________________________________________________ Clay Station Sponsorship