2012 Pistol Championship Registration

2012 USPSA Area 1 Championship Registration Form

Name*
Your name
Email*
USPSA #*
Your USPSA Member #. Enter PEN if you are applying for one. Note you will be required to have a USPSA membership number to shoot the match.
I would like to be staff for this match:
- Range Officer
- Chief Range Officer
- Build Crew / Match Operations (Local or Vegas)
Check all that apply.
Qualify for Free Match
- Junior attending Junior camp (first 12)
- Doesn't apply
This field will go away when these slots are full.
Match Selection
Age*
- Adult
- Junior
- Senior
- Super Senior
Sex*
- Male
- Female
Division*
- Limited
- Open
- Single Stack
- Limited 10
- Production
- Revolver
Power Factor*
- Major
- Minor
Class*
- GM
- M
- A
- B
- C
- D
- Unclassified
Enter class if known. We will update from the USPSA classification system prior to the match.
Special Categories
- None
- Law Enforcement
- Active Duty Military
- Foreign
Address
Street Address
City
Phone*
We won't bug you unless e-mail isn't working and there is a problem with your registration.
State*
Use the state code, for instance, "UT" or "NV". If from outside US just put your entire address in the Street Address box above. Also, your match invitation and Form 6 required for bringing guns into the country can be found at http://www.scribd.com/doc/74875987/2012-USPSA-Area-1-Championship
Zipcode
Your mailing zipcode. If outside US leave empty and place entire address in box street address box above.
Shirt Size
- S
- M
- L
- XL
- XXL
- XXXL
Comments/Special Instructions and Requests
Any thing you want us to know? Don't put squadding requests here. You will get an on-line squadding link when accepted into the match.
Phone
This field is for validation purposes and should be left unchanged.

2012 Pistol Championship Registration

2012 USPSA Area 1 Pistol Championship

Register below. You will be sent a confirming e-mail.

2012 USPSA Area 1 Championship Registration Form

Match Selection

Address

2012 Pistol Championship Registration

2012 USPSA Area 1 Pistol Championship

Register below. You will be sent a confirming e-mail.

2012 USPSA Area 1 Championship Registration Form

Match Selection

Address

Area 1 Championship Sponsors

USPSA Regional Areas