RevengeOnlineApp

Application for the Revenge of Montezuma 2012

Paypal or Check, Action ONLY

Please use the mail in application if you are paying by check or money order. Or send check or money order within 7 days if using the online application.

Alias

SASS #

Name: First

Last

Address

City

State

Zip

Phone#

Posse With:

Category

Main Match $85 ($88 if paying by paypal)

Spouse: $65 ($68 if paying by paypal)

Young Gun $Free with paid adult 13-17

Buckaroos: $Free with paid adult 10-12

Sat Night Banquet Dinner: $15 Each

Dry Camping $20 Full stay

June 10th 2012 Deadline ($5 more per shooter after June 11th, 2012)

$10 cancellation fee before 6-1-2012 ($20 per shooter after 6-2-12.) No refunds after June 13th, 2012

No Refunds on Dinner Tickets after 6-10-2012

Range will be open to campers Wednesday afternoon 2:00 pm

ONE APPLICATION PER SHOOTER PLEASE

Paypal address : target7@beyondbb.com

Match Fee

Dinner Ticket

Total

Okay....Now that you have filled in all the blanks, please put any message that you wish in the box above.

You may pay a grand total to paypal when you are finished signing up all your shooters. Hit the Submit Button for EACH application. Then come back and hit the paypal button.

From your paypal, hit "send money" send to target7@beyondbb.com .

Put Revenge of Montezuma in your note box on your paypal. Once it is paid, you will receive a receipt from paypal and from Stumble Leena. Hit the email button if you have any questions or ... If you don't get one from Stumble Leena within 24hrs, please give her an email and find out what the heck she

is doing!

Dry Camping

Size & Kind of Rig

Sign up early.....dry camping for bottom is limited to 20. All the rest will be camped on top. NO SHUTTLE at this time.

Dinner Tickets are NOT included in the main match fee.

Extra Dinner tickets are NOT sold at match unless there is a cancellation. Check on Saturday Morning if needing a dinner ticket.

Fill out form and hit submit for each shooter!

Note Box

Back to Revenge 2012 Main Page

Back to Windygap Regulators Home

If paying by check or mo, be sure to put Alias's on a note or on check. You have 7 days to send check or must re-submit application(s). Check web site on "Who's Coming to confirm application. Thanks!

Guest Dinner Ticket

If you need more than 1 Guest Dinner, please

Put Beef or Chicken in Box below and how many of each at $15 Each.

To make your sign in faster, you may use the "On Line" Release.

Please Click in the box below and type your NAME, ALIAS and SASS NUMBER in the lines in the Release FORM. And then click the check box.

LIABILITY RELEASE FORM for the 2012 Year.
Revenge of Montezuma, Revengers of Montezuma and The Windygap Regulators.
COWBOY ACTION SHOOTING, SASS MOUNTED SHOOTING AND RELATED ACTIVITIES

SINCE THE USE OF FIREARMS AND/OR HORSES IS DANGEROUS, WE REQUIRE ALL SHOOTERS AND OBSERVERS TO ASSUME ALL RISK BY SIGNING THIS RELEASE.

I, (print)(Given Name)________________________________AKA____________________SASS#__________ hereby acknowledge that I carry my own personal liability, health, accidental and death insurance, or am self insured,  and  have voluntarily applied to participate in and/or observe the sport of Cowboy Action Shooting, SASS Mounted Shooting and/or the, related activities including, but not limited to, equestrian events, children’s games, entertainment, food service and merchandise vendors and the riding of ATV's.

AS LAWFUL CONSIDERATION of being permitted to enter upon the premises upon which this event is conducted and of being permitted to participate in or observe activities or otherwise use the facilities, I, the undersigned, for my heirs, distributes, legal representatives, next of kin and assigns agree to the provisions set forth below.

1.  I hereby release, waive, discharge and covenant not to sue, make a claim against the property of or otherwise prosecute the Revengers of Montezuma, Revenge of Montezuma, Windy Gap Regulators, their members, officers, owners of the property Charles and Wanda Martin or the Montezuma County Sheriff's Posse, it members, officers or those representing the Montezuma County Sheriff's Posse,  on which the event is held and the Single Action Shooting Society Inc., one of its affiliate organizations, its officers, directors, shareholders, agents and /or employees, (for all purposes collectively referred to herein as “RELEASEES”, ) for liability on account of damage to the property of or injury to the person or death of the undersigned, whether caused from the passive or active negligence of RELEASEES or otherwise while the undersigned is participating in or observing the sporting or related activities presented by RELEASEES.

2. I hereby agree to indemnify and save and hold harmless the RELEASEES and each of them from any loss, liability, damage or cost that RELEASEES may incur due to the presence of or any act of the Undersigned while the Undersigned participates in or observes the sporting or related activities presented by RELEASEES, whether caused by the passive or active negligence of RELEASEES or otherwise.

1.	The Undersigned expressly agrees that the foregoing Release, waiver and Indemnity Agreement is intended to be a broad and inclusive as is permitted by the laws of the State of Colorado.  The Undersigned further agrees that if any provision of this agreement is held to be invalid, nevertheless, the balance of the agreement shall continue in full legal force and effect.
2.	 By signing as legal guardian or parent, you are accepting  full responsibility for minor child or on behalf of minor child for information stated in above paragraphs