CSSA Target Application

APPLICATION

1) Your personal information is required to administer scores, send patches, and notices, and to notify prize winners.

* Name:

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* Home Phone:

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* Email Address:

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* Address:

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* Are you a CSSA Member?

No

Yes

If yes, what is your CSSA number?

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2) Please check the competitions you intend to participate in.

Please note: The Junior Program is for participants who have not reached their 18th birthday at the start of the competition year.

Please note: There is a fee to submit targets for each category. For more information go to our website: cssa-cila.org/cssa-shooting-programs or contact our office.

* Discipline

Adult - 10 M Air Pistol

Adult - 10 M Air Rifle

Adult - 20 M Pistol

Adult - 20 M Rifle

Adult - 50 M Rifle

Junior - 10 M Air Pistol

Junior - 10 M Air Rifle

Junior - 20 M Pistol

Junior - 20 M Rifle

Junior - 50 M Rifle

3) I agree to abide by the rules outlined in the CSSA TARGET Program and to conduct myself in a honest, sportsmanlike manner. I understand that failure to comply with these rules and regulations may result in my dismissal from the program and the forfeiture of any ranking or prize.

* Answer:

I Agree

I do not agree

Submit Survey

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