2008 VHA
REGISTRATION FORM
Pre-registration deadline,
Name __________________________________ (List one individual shooter per form, with
all classes.)
Address ____________________________________________________ (please print)
City ___________________ State
______ Zip____________ VHA Membership # _______________
Phone: (
) ____ - _________ Phone: ( ) ____-_______ Email:_____________________________
Shooters
may sign up for one Factory gun and/or one Custom gun and may
enter the Aggregate if shooting both Factory and Custom classes. The Aggregate Score will be the combined Factory
and Custom scores.
LIST
ALL CLASSES AND REGISTRATION INFO ON ONE FORM PER SHOOTER.
FEE $ 35 per gun. $15 for Aggregate.
(Maximum total is two guns plus aggregate = $85) No refunds.
Factory class $35 _________ Custom class $35
________ Aggregate class
$15: ____
Factory rifle mfg:
_________________
Caliber: ____________ Gunsmith: Factory
Custom
rifle action: ________________ Caliber:
____________ Gunsmith: _________________
______ Check here if you intend to use a Muzzle brake, and, in which class(s)? _____________________
______ Check here if you are Left handed and/or if you must shoot from the
right side of a bench.
______ Sharing
equipment considerations: List with
whom & what: ________________
____________.
A
rifle may only be used only once in this match, unless a factory gun shooter
fires it in both classes, or unless shared with a youth (under 18). Other equipment sharing listed will be taken
into consideration.
I agree to abide by the rules of the VHA Midwest Regional
Match, its directors, and safety officers.
_________________________________ _________________ $___________
SHOOTER
SIGNATURE
DATE TOTAL
PAID
Registration paid received date (office use): __________________ Competitor # (office use): ________
Make check payable to Dave
Todd: Mail to: Dave Todd,