OVER THE HEAD CHALLENGE SPONSORSHIP FORM

Deer Creek Hunt Club • July 26, 2026 • Start Time: 1:00 PM

All proceeds support Deputy Jon Samuelson.

Sponsor Name

Contact Person

Business Name (if applicable)

Address

City

State

Zip

Phone

Email

Select Sponsorship Level *

Select Sponsorship Level

Silver Sponsor – Pay $1 for each broken target

Gold Sponsor – Pay $5 for each broken target

Platinum Sponsor – Pay $10 for each broken target

By checking this box you agree to sponsor the Over The Head Challenge at the level selected above and understand that

your contribution will be calculated based on the total number of targets broken during the event.

Date

Month

Day

Year

Questions or Sponsorship Information call:

Izabelle- 219-728-9113

Randy Novak - 219-877-7069