Wingshooting Clinic

First Name*

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Last Name*

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Session Attending*

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1 registration required per person per session.

Age Group*

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Age if under 18 (Parent or Guardian must accompany.)*

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Type NA if not applicable.

Street Address*

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City*

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State*

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Zip Code*

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Phone #*

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(XXX) XXX-XXXX

E-mail*

We need a valid email.

Do you hunt with a shot gun?*

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Do you participate in any of the following clay target sports? (Check all that apply)*

Trap

5-Stand

Skeet

Sporting Clays

Informal Hand Trap Clays

Other

If you selected*

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How often do you practice shooting clay targets?*

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Rate your approximate success rate hitting a moving object with a shotgun (wingshooting)/*

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Han you worked with a shotgun instructor before?*

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How did you find out about this clinic?*

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Other participants you would like in your group if possible. (We try to limit groups to four. We may split groups at check-in)*

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List up to three, separated by commas.

Qty

To register for the Hunters Wingshooting Clinic at the Des Plaines State Fish & Wildlife Area for Saturday, June 3rd or Sunday, June 4th (Sunday AM only) please read and follow the instructions on the attached Instructions for Participants sheet and complete the attached Skill Level Assessment Form.

The fee for each session is $30 per person. The fee is non-refundable. To secure your reservation, send a check payable to the Illinois Conservation Foundation and a completed Skill Level Assessment Form. Your reservation will be confirmed upon receipt of your check and Skill Level Assessment Form.

After you register you there is a permission form attached that must be signed by a parent or guardian for any participant
under 18 years of age. If the permission form is applicable, please send the signed permission to:

Des Plaines State Fish & Wildlife Area
Attn: Jeff Wepprecht/Wingshooting
28163 N River Rd
Wilmington, IL 60481

Please be on time for your session. The morning sessions start promptly at 8:00 a.m. and the afternoon
sessions start promptly at 1:00 p.m. You will need to be there to check-in at 7:30 a.m.for the morning session
and 12:30 p.m. for the afternoon session.
If you have questions or need additional information, please contact us by phone at 815/423-5326.
Sincerely,

Jeff Wepprecht

Jeff Wepprecht
Site Superintendent
Des Plaines State Fish & Wildlife Area
815/423-5326
[email protected]

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Wingshooting Clinic