Long Lake Fish & Game Club, Inc.

8196 Newcomb Road (route 28N)
Long Lake, New York
Location and Directions to Range
email: ll.fish.game.club@gmail.com
Phone/fax: (518) 624-4422

Black Bear Annual Championship Pre Registration Form

Please complete and submit the form below, specifically your name, NRA number, email and
the date you want to compete, to help us better prepare for this event.

Name*:
NRA Number*:
Date*:
Email*:
Mailing Address:
City:
State: Zip:
Phone:
Comments:
Validation code: Image verification Enter validation code here: (required)

   

 :