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Registration Form
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Alias: |
_________________________ SASS # _________ |
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Name: |
__________________________________________ |
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Address: |
__________________________________________ |
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__________________________________________ |
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City: |
_____________________ State: ____ Zip ______ |
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Phone: |
______________ Email: _____________________ |
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Shooting Pard*: _____________________ # in Party ___ |
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* Posse requests are handled on a first come - first served basis.
We will try to put you with your shooting pard, however we cannot guarantee it.
As posse rosters are filled we may have to place you with another posse.
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~~~ SHOOTER CATEGORIES ~~~ |
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Please indicate Male or Female |
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__ Cowboy |
__ Duelist |
__ B Western |
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__ Wrangler |
__ Senior Duelist |
__ Front Cart GF |
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__ 49er |
__ Classic Cowboy |
__ Frontiersman |
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__ Senior |
__ Gunfighter |
__ Buckaroo |
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__ Silver Senior |
__ Frontier Cartridge |
__ Young Gun |
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__ Elder Statesman |
__ Front Cart Duelist |
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Please check all that apply:
RO I Certified __ RO II Certified __ I will be camping on site (FREE) __
I am interested in being a posse leader __ I will RO a side match for 1 hr __
Please use one registration form per shooter · Copy for additional shooters · Total fees on first page
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1st Shooter $90.00 |
___ x $90.00 = ______ |
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Spouse or Significant Other $70.00 |
___ x $70.00 = ______ |
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Buckaroo & Young Gun Shooter $35.00 |
___ x $35.00 = ______ |
| Side Matches (save by paying now) | ___ x $10.00 = ______ |
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Add'l Dinner Ticket (adult) $15.00 |
___ x $15.00 = ______ |
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Add'l Dinner Ticket (child under 10yr) $7.50 |
___ x $ 7.50 = ______ |
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Total Enclosed |
$_______________ |
- Registration fee includes 10 stages of shooting Saturday - Sunday and the Saturday night all-you-can eat banquet. Other meals will be available on site.
- Friday side matches $2.00/event (payable at match) or $15.00/all day (payable at event).
- Advance registration is required. 220 Shooter cut off. Registrations must be received by April 15, 2010
- Make checks payable to: North Mountain Sportsmen's Association
Mail registration to: Barb Snyder (aka Black Hills Barb)
17030 US Route 15, Allenwood, PA 17810
Your registration will be confirmed by E-mail or Pony Express
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