Fire and Ice

2026 Kansas State Black Powder Championship and Smokeless Cowboy Action Match at Powder Creek

October 24 and 25, 2026

Fire and Ice Registration Form

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

*We reserve the right to refuse any application

Step 1 of 3

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This field is for validation purposes and should be left unchanged.

This form allows you to enter only one shooter at a time to ensure compatibility with SASS Premier, our scoring system. To make it easier to fill out the form if you have ever shot with the Powder Creek Cowboys your information is in our system and will automatically populate in the form when you enter your SASS Number. Please review all information carefully for accuracy.

SASS #(Required)

SASS Alias(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Who would you like to Posse With?

Please enter one shooter per line with your spouse as the first option. To add more lines, use the "Plus (+)" sign on the right.

Address(Required)

Street Address Address Line 2 City State ZIP Code

SASS Competitor Information

All Shooters must fill out a separate online registration form. If you are registering for your spouse, please complete your form first and select "Shooters Entrance Fee" then complete a second application and select "Spouse Entrance Fee". If registering your children, complete the application for each family member and select the appropriate entrance fee. You can pay for all Extra meaks and raffle tickets on one application, those will be given to the shooter on the application on which those items were purchased. However, side matches must be purchased individually on the shooter applications.

Gender(Required)

Male

Female

What Powder will you be shooting?(Required)

Black Powder

Smokeless Powder

Age Group/Category(Required)

You must select an Age Group before moving on to Shooting Style/Costume Category

Shooting Style / Costume Category

Sunday Lunch Notification

Due to the rising cost of food, we are now charging for the meal at the awards ceremony rather than increasing the entrance fee further. You may choose not to purchase a meal if you plan to leave immediately after the match or if you do not plan to eat at the event. We appreciate your understanding as we navigate these trying times

Important Match Fee and Registration Notice

Each shooter must pay the Main Match fees on their own application for you to be registered properly. This means you must fill out one registration for yourself and select "Shooter Entrance Fee" as the option in the drop-down. Then, if registering your wife, complete another form with her information and, in the Shooter Entrance Fee dropdown, select "Spouse Entrance Fee". Do the same for Children and select the appropriate fees for Junior or Buckroo.

You can purchase extra meals for multiple members of your family on one application; however, all tickets will be given to the one family member who made the purchase.

Failure to complete individual applications for separate family members will result in those individuals not being registered for the match.

We understand this is an inconvenience; however, the Scoring system only allows us to add one shooter at a time via online registration. We have eliminated the convenience fee this year in recognition of the added steps necessary. We appreciate your understanding.

Shooter Entrance Fees(Required)

Do you want to purchase lunch for yourself on Sunday(Required)

Yes

Lunch Fee for Sunday

Price:

Extra Meals

I would like to purchase Extra Lunch/es for Sunday

Extra Lunch (Sunday) Quantity

Price: $15.00

Quantity

Total

Shooter Waiver of Liability

Waiver of Liability, Release, Hold Harmless, Indemnification and Rules of Conduct Agreement(Required)

I have Read and Understand the Waiver of Liability

WAIVER OF LIABILITY, RELEASE, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT (1.6.23)
I wish to engage in firearms shooting with Powder Creek Cowboys (“PCC”). I understand that engaging in these activities may be hazardous, with accompanying risks of personal injury, death, and/or loss or damage to me and/or my property. For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Undersigned, on my own behalf and that of my heirs, successors, representatives, administrators and assigns, hereby:
1. Waive and completely release any and all past, present or future claims, causes of action, suits, rights, damages, costs, expenses, obligations or demands of any kind whatsoever, I, or anyone on my behalf might have against PCC, its parent, affiliates, subsidiaries or successor and their respective officers, directors, members, servants, employees, agents, representatives and contractors, for any loss, damage, personal injury, death and/or loss or damage to me and/or my property resulting from my participation, spectating, observing, instruction, and consuming food and beverages during such shooting activities whether caused by the passive or active negligence of PCC or otherwise;
2. Agree to indemnify, defend and hold harmless, PCC, its parent, affiliates, subsidiaries or successor and their respective officers, directors, members, servants, employees, agents, representatives and contractors, from any and all claims by any person, firm, corporation or others, for any damages, loss or claims, of any nature, arising in any way out of my participation in such shooting activities and agrees to compensate or reimburse PCC, its parent, affiliates, subsidiaries or successor and their respective officers, directors, members, servants, employees, agents, representatives and contractors, for any cost, expense, or damages including attorney fees, filing fees and interest resulting from any claim brought against PCC for property damage, personal injury or death which arises as a result of the passive or active negligence or other act of the Undersigned while participating in and/or observing the shooting events and related activities conducted by PCC; and
3. Assume all risks associated with such activities and all responsibility for medical expenses, costs and/or other obligations and other losses or injuries to me or in which I may become involved, by reason of my participation in such shooting activities at the aforementioned facility or event.
4. I further acknowledge that I am familiar with the basic rules of firearm safety and that those basic rules have been explained to me. I agree to follow all of the basic rules of firearm safety during my use and handling of all firearms and agree to follow all of these instructions: (a) The PCC range is a “cold” range and no firearms may be loaded at any time except on the firing line and at the instruction of range officials; (b) I will treat every firearm as if it is loaded; (c) I will not place my finger on the trigger or in the trigger guard unless and until I am ready to fire or under the direction of a range officer; (d) I will always wear appropriate eye and ear protection; (e) I will never pass the firearm to anyone without opening and keeping open the cylinder or the action to verify that it is unloaded; (f) I will always follow the commands of the range officer. I understand these basic rules of firearms safety and I agree to follow them at all times.
5. Powder Creek Cowboys has an internet and social media presence. Images, including photographs, video and voice recordings are frequently used within these digital platforms as well as on printed materials promoting the club.
By signing this release, I hereby acknowledge Powder Creek Cowboys may use my image and likeness in still or motion images for promotional or educational purposes. I authorize Powder Creek Cowboys to use my image or likeness, including photographs, video, and voice recordings for the clubs promotional or educational purposes and I understand and expect I will receive no compensation or royalties for the use of my image or likeness. I release Powder Creek Cowboys from any claims that may arise from the use of my image, video, or voice recording, including but not limited to, invasion of privacy, defamation, or copyright.
6. I have read and agree to abide by the Member and Guest Code of Conduct and Rules of our club stated on our website.
7. I am over the age of eighteen (18) years of age. If I am signing on behalf of a person under the age of eighteen (18) years, then I covenant that I have the legal authority to act on behalf of such person and I bind him or her to the terms of this agreement.

I am over the age of 18 and legally allowed to enter into this contest without parental consent

Yes

No (My Parent or Legal guardian is signing for me)

Signer Name(Required)

First Last

Relationship to Shooter(Required)

Your signature below indicates you have read and agree to all rules and conditions as stated in this application and on our website from attending this match (Required to Attend)

Signature(Required)

*We reserve the right to reject any application for any reason. Schedule is adjustable at our discretion.

Date(Required)

MM slash DD slash YYYY

Credit Card(Required)

Card Details

Cardholder Name