INDOOR AND OUTDOOR DIRECTOR'S DISTICT PAYBACK FORM
This page last modified on Sunday, December 11, 2011
INDIANA FIELD ARCHERY ASSOCIATION
Indoor & Outdoor District Tournament Form
SHOOTING FEES: ADULTS $ 10.00 YOUNG ADULT, YOUTH & CUB :  $ 5.00   FAMILY : $ 20.00
……………….MEMBERSHIP MUST BE VERIFIED ………………
FEES ARE SPLIT 50/50 BETWEEN HOST CLUB & I.F.A.A.
HOST CLUB _______________________________________________________
DISTRICT NO. ________________________ DATE ______________________
NUMBER FEE
OFFICERS & DIRECTORS  ( SHOOT FREE) _________ $0.00
Names _______________________________
           _______________________________
           _______________________________
NUMBER OF ADULTS 
MINUS DIR. OFFICERS & FAMILY _________
Pay Host Club             $ 5.00 per Adult Shooter …………………. $ _________
NUMBER OF YOUNG ADULTS, YOUTH, CUB
MINUS FAMILY'S YA, Y, & CUB _________
Pay Host Club  $ 2.50 per YA, Y, & Cub Shooter…….………….. $ _________
NUMBER OF FAMILIES ( 3 OR MORE SHOOTERS)  _________
ADULTS _________
YOUNG ADULTS, YOUTH, CUBS _________
PAY HOST CLUB $ 10.00 per Family ………………………………. $ _________
TOTAL NUMBER OF SHOOTERS _________
TOTAL FEES PAID TO HOST CLUB …………………………………………….. $ ________
TOTAL FEES SENT TO I.F.A.A. ………..…………………………………………. $ ________
Sr. Director: Keep duplicate copy of this form and send the original to the State Treasurer with
the remainder of the shooting fees.
I.F.A.A. TREASURER I.F.A.A. SECRETARY
KENNY KAYS ED LANDGRAVE
3347 E. St.Rd. 54 217 WICKERSHAM DR. WEST
SULLIVAN, IN. 47882 KOKOMO, IN. 46901
nesk@tiez.com edlandgrave@comcast.net
Keep the scorecards and send a comprised list of shooters (by shooting style and class) to the
I.F.A.A Secretary, WITHIN THREE (3) DAYS following of the District Shoot.
SIGNATURE OF DISTRICT DIRECTOR ________________________________________
SIGNATURE OF HOST CLUB OFFICER _______________________________________
ifaa indoor & outdoor tournament form
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