Join Us for OGS

Thank you for your interest in participating in the Old Glory Shoot fundraising event. It is your generosity that allows us to keep providing our services to vets year-round. Please fill out the form below to sign up to shoot in the event, sponsor the event, or both.

If you prefer not to register online, you may download the form and mail it in along with a check. Please note that if you submit your registration via mail your flight choice can not be confirmed until payment is received.

If you have any questions, please phone 570-746-3082.

Registration and Sponsorship

After you finish this application you will be redirected to a PayPal/Credit Card check out page. Total registration fee + Sponsorship = Total Due.

    Individual Name*
    Company Name
    Contact Person*
    Company Website url (if applicable)
    Phone*
    Email*
    Address
    City
    State
    Zip

    Sponsorship Packages

    Which sponsorship level are you interested in?*
    Please enter sponsorship total (if applicable)
    Please enter any additional donation amount
    Please submit the best version of your logo (if applicable)

    Registration Costs

    Teams of LESS THAN 4 will be considered individual shooters.

    We have a limited number of veterans to augment your team (at your cost). If you desire this option, print "NEED A VET" in the name space on this form's participants section.

    Number of teams (4 people)
    Number of teams x $600 =
    Number of individual shooters
    Number of individual shooters x $150 =

    Flight Choice

    Please Choose One

    Participants

    Participant 1
    Gender
    Gauge Choice (Choose One)
    Participant 2
    Gender
    Gauge Choice (Choose One)
    Participant 3
    Gender
    Gauge Choice (Choose One)
    Participant 4
    Gender
    Gauge Choice (Choose One)
    Participant 5
    Gender
    Gauge Choice (Choose One)
    Participant 6
    Gender
    Gauge Choice (Choose One)
    Participant 7
    Gender
    Gauge Choice (Choose One)
    Participant 8
    Gender
    Gauge Choice (Choose One)