USAS Sanctioned PTO Registration Form


Name - ________________________________ Address ____________________________________________________________________________________ USAS Membership # __________________

Event (circle All That Apply)

  9:00 AM 1:00 PM
11/11/2007 Air Pistol/Rifle Air Pistol/Rifle
1/20/2008 Air Pistol/Rifle Standard. Pistol
3/9/2008 Air Pistol/Rifle Free Pistol
4/20/2008 Air Pistol/Rifle Air Pistol/Rifle

Current USAS Classification (Insert all that apply)

Air Pistol -  
Air Rifle -  
Standard Pistol -  
Free Pistol -  

Categories(Circle all that apply)

J1 - (18-20) J2 - (15-17) J3 - (14 & Under)
S1 - (45-54) S2 - (55 & Over)  
Woman Collegiate Visitor (Non US Citizen)

Please refer to the match Bullitin for specific times, Match and Competitor requirements.

Fill out the registration information, and mail it along with fees to the Match Director to ensure priority squadding.