MATCH APPLICATION

This is a preliminary match registration form. You may need to complete and sign the official form at the match. Please fill this out and mail it to the address as listed in the match bulletin along with registration fees in sufficient time to arrive by the wednesday prior to the event.

If this registration is for a CMP "Sanctioned" match such as an EIC, Garand, Springfield, Vintage, or Rimfire Sporter Match, you will need to have an "ELIGIBILITY AFFIDAVIT and LIABILITY AGREEMENT" form notarized and on file prior to the match. This form can be downloaded from the range schedule page of the www.centervillesmallarms.org web site and mailed in with this application. This affiddavit is only required the 1st time, after which it will remain on file.

If this match is for an NRA State Championship Match, you must be a current member of the National Rifle Assoc and the Utah State Rifle and Pistol Assoc, or a member of your local State Assoc. Proof Required, Applications will be available at range.

DEADLINE: This form should be recieved no later than 5 pm, 3 days prior to the match to facilitate advanced squadding. Applications will be accepted at the range 30 minutes before the scheduled start of the match.

The Match bulletin will be posted on the internet.
Do you need the bulletin mailed? Cicle YES - NO

Name(Please Print)_____________________________________________________
Address_________________________________________________
________________________________________________________
________________________________________________________
E-Mail Address___________________________________________
NRA Number_____________________________________________
(Required for Approved, State and Regional Matches)

Date of Birth of JuniorsYear Only__________________
NRA Classification for this match_________________________________________

Circle the catagory you will fire in. Grand Senior - Senior - Woman - Junior

Grand Senior = Beginning the year in which his/her 70th birthday occurs.
Senior = Beginning the year in which his/her 60th birthday occurs.
Junior = Through the calendar year in which his/her 20th birthday occurs.

Match Date________________ Location_____________________________

Match Title______________________________________________

Fees Paid________ Signed _____________________________________ Date _________________