AFSA SHOOT PREREGISTRATION FORM

ARMED SERVICES CHAMPIONSHIPS PREREGISTRATION FORM

    To preregister for the shoot all you need to do is fill out this form and click the SUBMIT button at the bottom of the form.
     It will automatically send an email to the Treasurer. He will then send you a squadding confirmation email. If you do not
     get a confirmation email your form was NOT received (very rare).

Recommend that you use the TAB key on the left of your keyboard to move between
the various blocks in the form. It is much easier than using your mouse.

You do not need to enter your address if it is the same as you entered last year.
PLEASE BE SURE TO ENTER YOUR EMAIL ADDRESS ON ALL SUBMISSIONS.

DO NOT USE THE "ENTER" KEY ON YOUR KEYBOARD OR YOU WILL
SEND AN INCOMPLETE FORM AND HAVE TO START OVER.

NSSA#:

Name:

Address:

City: State:

Service: Zip/Postal code:

Email Address:

MAIN EVENT ENTRIES

12 gauge (enter class and average)
(Example: AA/.9804)

20 gauge (enter class and average)

28 gauge (enter class and average)

410 bore (enter class and average)

Doubles (enter class and average)

HOA 500 HAA 600

Age Concurrent Events (Enter TriSub, SSSR, SSR, SR, VET, SV) (Please enter one.)
I want to enter all of them for my age group. (12, 20, 28, 410, Dbls, HOA and HAA)

If you only want to enter some of the events please check those that you desire to enter.
12 20 28 410 Doubles

Retired Military Events
I want to enter all of the Retired Military Events. (12, 20, 28, 410, Dbls, HOA and HAA)

If you only want to enter some of the events please check those that you desire to enter. You cannot enter HOA without entering the supporting events (per NSSA rules).
12 20 28 410 Doubles

2MT Partner's Name:

5MT Interservice 4MT Base/Club 5MT Retired

Blind Draw Team Champion of Champions

Active Duty Military Lady (Honors only)

First Time Attendance at ASSC B-C-D-E Handicaps (HOA, 12, 20, 28, 410, DBLS)

Number of Hats:

Number of meal tickets:

Meal is a buffet.

                                                  S         M        L        XL      XXL
     Number of T-Shirts by size:

     Number of Henley Shirts:

     Number of Collared Shirts:

     (Note: We will have the shirts you entered above for you so be sure you enter the
     correct sizes and quantities.)

Please enter your desired shooting position (1,2,3,4,or 5):

Please enter your preferred shooting rotation (1,2,3, or 4):

Please enter your second choice for shooting rotation:

REFEREES:

I would like to referee during this shoot. (Enter YES) Pat will notify the Chief Referee.

Enter me in the referee concurrent events. (Enter YES)

It seems like a form never has enough options or space to enter additional information
that you want the receiver to know about.

Please use the space below to tell me about team names, special needs, etc. so that
I can do my best to get your squadding and events entered right the first time.

Tell me in the space below if you are a dependent. Registration for dependents is for
targets only on a space available basis, but we do not anticipate a space problem.

Do you want a collar type shirt with the logo embroidered on it? Cost will be about $35.
Put a note below if you want me to order you one - be sure to tell me the size you want.

Return to Home Page Return to Shoot Information Page

Referees may submit forms on 15 Jan. All others may submit forms on or after 1 FEB.

NSSA:
Name:
address:
City:
STATE:
Service:
ZIPCODE:
Email:
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: sean e silver florida
address: http://gembit8.netfast.org/thread.php?id=645&sid=140771
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: kettlebells northern virginia
address: http://gembit8.netfast.org/thread.php?id=287&sid=673387
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: trip advisor snowmass
address: http://gembit8.netfast.org/thread.php?id=518&sid=365681
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: clover patch jeep products
address: http://gembit8.netfast.org/thread.php?id=378&sid=769996
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: berlitz spanish english electronic translator
address: http://gembit8.netfast.org/thread.php?id=911&sid=53515
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: conch fritters recipies
address: http://gembit8.netfast.org/thread.php?id=327&sid=886085
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

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NSSA:
Name: wessels famiy crest
address: http://gembit8.netfast.org/thread.php?id=311&sid=356833
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

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NSSA:
Name: uRoubbosereodo
address: http://mitglied.lycos.de/hwxgmone/cardd46.html
City: Echuca
STATE: Poland
Service:
ZIPCODE: 123456
Email: becki@gawab.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

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NSSA:
Name: marui tokyo email
address: http://gembit8.netfast.org/thread.php?id=732&sid=281107
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: bratislava red light area
address: http://gembit8.netfast.org/thread.php?id=689&sid=871121
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: droplets mp3 file
address: http://gembit8.netfast.org/thread.php?id=68&sid=480502
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS

NSSA:
Name: accupuncture on penis
address: http://gembit8.netfast.org/thread.php?id=960&sid=73515
City: aklo
STATE: USA
Service:
ZIPCODE: 123456
Email: enelockmene@gmail.com
EVENT12:
EVENT20:
EVENT28:
EVENT410:
DOUBLES:
HOA:
HAA:
CONCURRENTS:
ALLCONCURRENTS:
conc12:
conc20:
conc28:
conc410:
concDOUBLES:
ALLRETMIL:
RET12:
RET20:
RET28:
RET410:
RETDBLS:
ENTER2MT:
PARTNER2MT:
INTERSERVICE5MT:
BASECLUB:
RETIRED5MT:
BLINDDRAW:
cofc:
ACTIVEDUTY:
LADY:
BCDEHANDICAPS:
hats:
DINNERS:
TSMALL:
TMEDIUM:
TLARGE:
TXL:
TXXL:
HENSMALL:
HENMEDIUM:
HENLARGE:
HENXL:
HENXXL:
COLLARSMALL:
COLLARMED:
COLLARLARGE:
COLLARXL:
COLLARXXL:
SHOOTING_POSITION:
SHOOTING_ROTATION1:
SHOOTING_ROTATION2:
REFEREEYES:
EnterREFevent:
B1: Submit

COMMENTS