Thunder Valley rifle Range
Camp Blanding Rifle Range
Match Registration Form
Advertised Date of Sanctioned Target Match: January 21st-23rd, 2011
Location of Match: Camp Blanding, FL
Only bring firearms you are competing with, NO Carrying concealed on military installations
Name of Competitor: ______________________________________________________________
Address: _________________________________________________________________________
City: ________________________________ State: ______________ Zip: ____________
Phone: ( _____ ) _____-_____________ Fax: ( _____ ) _____-_______ Email:______________________
January 21st and 22nd, 2011
Which Class Will You Be Competing In: Heavy _____Light ____ Hunter ____Any other Class ____
(Any other class means any rifle caliber but a .50 caliber; it is the same course of fire as the .50 caliber)
January 23rd, 2011
Multi Record Fire Range (pop-up targets) .223/5.56 up to .7.62/.308, Handgun 9mm .40cal and 45ACP
Will you be shooting the MRFR course of fire? Number of entries?___
Will You Be Sharing Guns & Equipment with other Competitors: Yes______ No______
If Yes, Who Will You Be Sharing With? ______________________________________________________
What equipment will you be sharing? ____________________________________________________________
Are You A Current Member of NCSA, Ltd? Yes__ No__ Membership Number: ______Expires: __________
Amount of Money Enclosed: Number of Long Range Classes x $60 each = $ _________
MRFR Entry, Number of Entries X $60 rifle and handgun included each =$__________
Total _________
Practice MRFR entries will be $20 per practice and be signed up for at the event
Note: Each class of competition a shooter competes in will require an additional payment of a match fee.
Make Checks Payable To: North Coast Shooters Association, LTD (NCSA, LTD)
Mail To: North Coast Shooters Association, LTD , P.O. Box 364, Millersburg, Ohio 44654
The cutoff for entry into the match is 3PM Friday the sight in day.
By submitting this entry form to the Match Director at least two weeks in advance of the scheduled match, you will help the match host accomplish many of the jobs He/She has to accomplish before any match can proceed.
Signature of Competitor: ________________________________ Date: _____________________
You must be a member of NCSA, Ltd or join to participate For our insurance to cover you.
Each competitor is required to sign a Release of Liability form at the time of rifle inspection in order for this form to be accepted. Revised 12/20/2010
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