Sporting Clay Registration Form

Contact Person

First Name *

Last Name *

Email *

Mobile Phone

Are you, as the Contact Person, also participating in the tournament?

YesNo

Shooters Information (if registering more than 4, please contact Cindy Kurtz at 478.955.2344).

Shooter #1 Name

Shooter #2 Name

Shooter #3 Name

Shooter #4 Name

Shooter Totals

Total Number of Shooters (don't forget to add yourself, the contact person, if you are participating).

Total Amount Due for Shooters (number of shooters X $50)

Sponsorship Opportunity

Would your company like to sponsor the tournament?

Yes ($100)No

Company Sponsorship Totals

Total Amount Due (if applicable) for Tournament Sponsorship

Grand Total

Total Amount Due for Shooters and/or Sponsorship

Payment

How will you pay?

I will pay via PayPal. Note: you will have the option to go to GCPA's PayPal account page immediately after you press "Submit" below.I will mail my payment. Note: please mail your payment to GCPA, 335 Bussey Road, Sycamore GA 31790.Please call me for payment information.

Checkbox *
By checking this box, I agree that a representative of GCPA can contact me, if necessary, regarding the 2018 Sporting Clay Fundraiser registration.

Verification

Please enter any two digits *Example: 12
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About the GCPA Crop Production Alliance Scholarship

ONLINE APP CLOSED

GCPA has established the Georgia Crop Production Alliance Scholarship to be awarded to undergraduate students enrolled in an agricultural-related discipline at an institution of higher education in the state of Georgia (including, but not limited to, Abraham Baldwin Agricultural College, Fort Valley State University, and The University of Georgia).
Students must be pursuing a degree, or program of interest, directly related to issues that affect crop production.
The number of scholarships awarded will be contingent upon annual fundraising activities by the GCPA, but a minimum of one will be awarded each year.
Grades, extra-curricular activities, and desire of a career in crop production agriculture will be considered in the final selection.
The recipients will be requested to attend the GCPA annual meeting awards luncheon, traditionally held each November at the Lake Blackshear Resort and Golf Club near Cordele, Georgia.
GCPA will present a check to each scholarship recipient at the annual meeting.

Questions? Email Dr. R. Scott Tubbs