Registration 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 on the form. That is much easier than using your mouse and will not result in sending an incomplete form.

You do not need to enter your address if it is the same as the one 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.

Referees may register starting 15 Jan. All others may register starting 1 Feb.

Please note that credit cards are never accepted by AFSA for anything - checks or cash only.

NSSA NUMBER

NAME SERVICE

ADDRESS

CITY STATE ZIP CODE

MAIN EVENT ENTRIES

12 GAUGE CLASS 12 GAUGE AVERAGE

20 GAUGE CLASS 20 GAUGE AVERAGE

28 GAUGE CLASS 28 GAUGE AVERAGE

410 BORE CLASS 410 BORE AVERAGE

DOUBLES CLASS DOUBLES AVERAGE

You will automatically be entered in the HOA and HAA events. If you do not want to enter them you may correct that during registration.

ENTER YOUR AGE CONCURRENT TO REGISTER FOR THAT EVENT

ENTER ACTIVE OR RETIRED TO ENTER THE CORRECT EVENT

YOU MUST SHOOT IN ALL GAUGE EVENTS TO BE ELIGIBLE FOR ACTIVE DUTY OR RETIRED HOA EVENTS PER NSSA RULES.

IF YOU ONLY WANT TO ENTER SELECTIVE GAUGE EVENTS YOU MAY CORRECT THAT DURING REGISTRATION AT THE SHOOT.

CLICK TO ENTER THE LADY EVENTS (FOR HONORS ONLY)

CLICK TO ENTER THE CHAMPION OF CHAMPIONS EVENT

CLICK TO ENTER THE 3MT BLIND DRAW

CLICK TO ENTER THE 2MT EVENTS ENTER YOUR 2MT PARTNER NAME IF KNOWN

CLICK TO ENTER ACTIVE DUTY INTERSERVICE TEAM EVENTS WHICH SERVICE WILL YOU REPRESENT?

CLICK TO ENTER THE BASE/CLUB TEAM EVENTS WHICH BASE/CLUB TEAM?

CLICK TO ENTER THE RETIRED 5MT EVENTS

IF THIS IS YOUR FIRST ARMED FORCES OR ARMED SERVICES SHOOT YOU MAY ENTER THE HANDICAP EVENTS FOR THOSE SHOOTERS.

CLICK TO ENTER THE HANDICAP EVENTS FOR NEW SHOOTERS ONLY

OUR REFEREES ARE AS GOOD AS THEY GET EVERY DAY AND EVERY SHOOT. WE OFFER A SPECIAL EVENT FOR THEM.

I WANT TO REFEREE AT THE SHOOT I WANT TO ENTER THE REFEREE EVENTS TOO.

HOW MANY HATS WOULD YOU LIKE ORDERED FOR YOU?

HOW MANY PRIME RIB DINNERS WOULD YOU LIKE? CHICKEN BREAST PICCATA? JUMBO 3 CHEESE RAVIOLI?

THIS YEAR THE DINNER INCLUDES BABY GREENS, SALAD, ROLLS, SEASONABLE VEGETABLES, DESERT, STARBUCK'S COFFEE (BOTH), TAZO BLACK ICED TEA. PRIME RIB INCLUDES YUKON GOLD POTATOES AND GRILLED VEGETABLE MEDLEY. CHICKEN BREAST PICCATA INCLUDES GARLIC MASHED POTATOES AND GRILLED VEGETABLES. RAVIOLI INCLUDES VEGETABLES PROVENCAL, GRILLED SLICES PORTOBELLO, AND ASPARAGUS.----------------------------------------will change for 2011 shoot.

WE ALWAYS HAVE A HOST OF SHIRT OPTIONS FOR PRE-ORDER ONLY. (EXTRA SHIRTS ARE NOT ORDERED FOR SALE AT THE SHOOT.) T-SHIRTS, HENLEY SHIRTS, AND COLLAR POLO SHIRTS ARE AVAILABLE IN SMALL, MEDIUM, LARGE, XL, XXL, AND XXXL. XXL AND XXXL COST MORE. THE SHIRT DESIGN CHANGES EACH YEAR.

PLEASE USE THIS SPACE TO TELL ME HOW MANY SHIRTS TO ORDER FOR YOU BY TYPE AND SIZE.

SHOOTING PREFERENCES

SELECT YOUR DESIRED SHOOTING POSITION ON THE SQUAD

SELECT YOUR FIRST CHOICE FOR SHOOTING ROTATION SECOND ROTATION CHOICE

DEPENDENTS ARE ALLOWED TO SHOOT FOR TARGETS ONLY ON A SPACE AVAILABLE BASIS. CLICK IF YOU ARE A DEPENDENT

PLEASE USE THE SPACE BELOW TO TELL ME IF YOU HAVE ANY SPECIAL NEEDS OR REQUESTS SO I CAN DO MY BEST TO TAKE CARE OF THEM.

SUBMIT FORM CLEAR THE FORM AND START OVER

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