River Bend Gun Club Smallbore Rifle Prone - Rbgc Substiture For Nra Sr-1 Form
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1Please complete this form and submit to the Statistical Office with your entry fee
If paying by check, please make your check or money order payable to Tommy Steadman
Have questions? Please call or write: steadmant@comcast.net - 404-392-7050
Tournament Date:___________________________________________
River Bend Gun Club Smallbore Rifle Prone - Substitute SR-1
Note to competitors: This form is a substitute for NRA form SR-1. Information provided will be used exclusively by
the RBGC smallbore match director and Statistical Office for match administration and will be held in strict confidence.
Name
(If you are an NRA member or have an NRA
1
classification, please print your name as shown on
your NRA membership or classification card)
NRA Membership or Classification Number
2
(If you are not an NRA member or do not have an NRA
)
classification, a number will be assigned by NRA
Address
3
(Street and Number)
4
City, State, Zip Code
5
E-mail Address and/or Telephone Number
Civilian
Service
Senior
6
Category
Junior
Intermediate Junior
Sub-Junior
Date of Birth
7
(Required only if Senior or Junior
Category is checked in 6, above)
None
Unclassified
NRA Outdoor Conventional
8
Prone Classification
Master
Expert
Sharpshooter
Marksman
None
Unclassified
NRA Outdoor Metric
9
Prone Classification
Master
Expert
Sharpshooter
Marksman
None
High Master
If no classification in 8 or 9 above, please
10
Master
Expert
Sharpshooter
Marksman
.
list other NRA rifle classifications, if any
Discipline____________________________________
Will You Shoot In The Team Match?
11
Yes
No
(Regional and State Championships Only)
11
Are You A River Bend Gun Club Member?
Yes
No
For Statistical Office Use:
13
RBGC Substitute For NRA Form SR-1
Revised January 1, 2010
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