2023 Mayhem at Monticello
Kansas Wild Bunch State Championship

September 2 and 3, 2023

Mayhem at Monticello Registration Form

PLEASE USE A SEPARATE ENTRY FORM AND COMPLETE A LIABILITY WAIVER FOR EACH SHOOTER. 

Registering Online for this competition will incur a single $5.00 convenience fee to cover processing fees assessed by our bank for use of the credit card system.  The processing fee is listed at the end of the application and will be automatically included in your total.  Should you prefer to pay by check and mail your payment, you may download an application and waiver form HERE. 

Entries are considered on a first-come, first-served basis and are limited to 150 total shooters.

*We reserve the right to refuse any application

Step 1 of 2

PLEASE USE A SEPARATE ENTRY FORM AND COMPLETE A LIABILITY WAIVER FOR EACH SHOOTER
Name(Required)
MM slash DD slash YYYY
Address(Required)

SASS WB Competitor Information

Gender(Required)
Style(Required)
Are you over 65 and wish to be put into consideration for the Senior Age cateogry??
SENIOR (65+) (will only be used if the original category has at least 10 competitors and senior has at least 5 competitors)

Entrance Fees and Additional Meals

Please enter the quantity of the entrance fee and any additional options for the shooter below. Each Shooter will need to complete a separate registration form and Liability Waiver. For Spouse or Buckaroo Entrance fees, please enter your spouse's name or the name of the parent or guardian in the field to the right of the fee schedule.

Price: $0.00
Enter only the number of Children in your Family which will be entering the event, ex. if you have one child entering enter the number 1.