Register for Chai4ever Shooting for Hope and Healing

Registration Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip / Postal: *

Country: *

Phone Number: *

Additional Phone Number:

Email Address: *

Date of Birth: *

Jersey Size: *

Emergency Contact Information

Emergency Contact: *

Emergency Phone: *

FUNDRAISING COMMITMENT

I understand that by participating in Shoot4chai , I am committing to raise a minimum of $1,800. If for any reason I am unable to meet the required minimum of $1,800 by October 31, 2026, the difference will be charged to my credit card on file.

D Class Shooter $1,800.

Each shooter receives:
Ammo: 150 rounds of 9mm, 150 rounds of .22 caliber,60 rounds of 5.56 caliber
Swag/equipment: T-shirt, Hoodie, Bag, Basic Eye Protection, Basic Ear Protection

C Class Shooter $2,600.
The fundraising deadline to qualify for this shooter class is October 18. If you have not reached your goal by October 18, you will be placed in the class closest to what you have raised at that time.

Each shooter receives:
Ammo: 300 rounds of 9mm,300 rounds of .22 caliber,120 rounds of 5.56
Swag/equipment: T-shirt, Hoodie, Bag, Pistol Case, Basic Ear Protection, Upgraded Eye Protection

B Class Shooter $3,600.
The fundraising deadline to qualify for this shooter class is October 18. If you have not reached your goal by October 18, you will be placed in the class closest to what you have raised at that time.

Each shooter receives:
Ammo: 450 rounds of 9mm, 450 rounds of .22 caliber, 180 rounds of 5.56
Swag/equipment: T-shirt, Hoodie, Bag, Pistol Case, Upgraded Eye Protection, Electronic Ear Protection.
Bring your family to enjoy the day (one additional shooter, age restrictions may apply)

A Class Shooter $5,400.
The fundraising deadline to qualify for this shooter class is October 18. If you have not reached your goal by October 18, you will be placed in the class closest to what you have raised at that time.

Each shooter receives:
Ammo: 600 rounds of 9mm, 600 rounds of .22 caliber, 240 rounds of 5.56
Swag/equipment: T-shirt, Hoodie, Bag, Pistol Case, Upgraded Eye Protection, Electronic Ear Protection, Range bag.
Bring your family to enjoy the day (two additional shooters age restrictions may apply).

Master Class $10,000.
The fundraising deadline to qualify for this shooter class is October 18. If you have not reached your goal by October 18, you will be placed in the class closest to what you have raised at that time.

Each shooter receives:
Ammo: 750 rounds of 9mm, 750 rounds of .22 caliber, 300 rounds of 5.56
Swag/equipment: T-shirt, Hoodie, Bag, Pistol Case, Upgraded Eye Protection, Electronic Ear Protection, Range bag.
Your Choice of Firearm to Keep (where legal) of Czp10 Handgun, Mossburg 590 shotgun, or $500 gift card to an online gun retailer.
Bring your family to enjoy the day (Three additional shooters age restrictions may apply).

Grand Master Class $18,000.
The fundraising deadline to qualify for this shooter class is October 18. If you have not reached your goal by October 18, you will be placed in the class closest to what you have raised at that time.

Each shooter receives:
Ammo: 900 rounds of 9mm, 900 rounds of .22 caliber, 360 rounds of 5.56
Swag/equipment: T-shirt, Hoodie, Bag, Pistol Case, Upgraded Eye Protection, Electronic Ear Protection, Range bag.
Bring your family to enjoy the day (four additional shooters age restrictions may apply).
Your Choice of Firearm to Keep (where legal): Springfield 1911 Operator (caliber of your choice),Marlin Guide Series lever action rifle (caliber of your choice), Ruger American Gen 2 rifle (caliber of your choice) with a Vortex Diamondback 4-16x44 scope and rings) SigM400 Forge AR15 with Sig Romeo MSR Gen 2 red dot, or CZ Shadow.

Account Information

Custom URL:* Create your custom url to use for your personal fundraising page (This will also be your account username)

https://www.rayze.it/shoot4chai/

Sign in with Google or choose a password. You will need it to view / edit your personal web page, and see who has sponsored you for this event.

Password: *

Re-Type Password: *

Payment Details

You will be charged a $50 non-refundable registration fee.

Card Type: *

Card Number: *

Exp. Month: *

Exp. Year: *

Security Code: *

Waiver and Release

SHOOT4CHAI ACCIDENT WAIVER, RELEASE OF LIABILITY, AND MEDIA CONSENT

1. Assumption of Risk: I acknowledge that live-fire range activities involve inherent hazards, including bodily injury, hearing/eye damage, ricochets, equipment failures, or death. I voluntarily assume all risks associated with attending and participating in Shoot4Chai at Topton Fish and Game Association.

2. Release of Liability: I hereby release, waive, and hold harmless Chai4ever, Topton Fish and Game Association, and their respective officers, volunteers, Range Safety Officers (RSOs), and sponsors from any and all liability, claims, or demands arising out of my participation, including claims caused by the negligence of the released parties.

3. Safety Rules & Authority: I agree to strictly comply with all host facility rules and RSO instructions. I certify I am legally permitted to handle firearms and am not under the influence of drugs or alcohol. Organizers reserve the right to remove any participant for unsafe behavior without refund.

4. Media Release: I grant Chai4ever permission to use photographs, audio, or video recorded of me during the event for marketing and promotional purposes.

I accept the above waiver and release