NATIONAL BENCHREST ASSOCIATION INC. 2009 PVGC NBRSA & LONG RANGE VARMINT NATIONALS REGISTRATION
I do hereby release the Palomino Valley Gun Club Inc. and the National Benchrest Shooters Association Inc. along with their officers and officials from any and all claims for liability and damage that may be sustained by me by virtue of my participation in this rifle match conducted by the said club and registered by the National Benchrest Shooters Association Inc.
Signed ____________________________________Date ______________ Printed Name __________________________
Address____________________________________________________________________________________________
City _____________________________ State ______ Zip-Code ____________________________________
DATA FOR THE NATIONAL BENCHREST SHOOTERS ASSOCIATION INC.Are you a member in good standing of the NBRSA Inc.?Yes _____ No ______
Yes _____ No ______ (Note: if “no”, you must join NBRSA now to shoot in this match. The registration officer can sign you up and take your dues)
Light Gun
Caliber __________ Action _________ Scope ___________ Power __________ Barrel Maker __________________ Gunsmith _____________________ Stocker ______________________ Gun Wgt. _________Primer___________Case ______________ Powder______________Powder Wgt.___________ Blt. Mfg. ________________Wgt._________________Shape __________ Moly Y NHeavy Gun
Caliber __________ Action _________ Scope ___________ Power __________
Barrel Maker __________________ Gunsmith _____________________ Stocker ______________________ Gun Wgt. _________Primer___________Case ______________ Powder______________Powder Wgt.___________ Blt. Mfg. ________________Wgt._________________Shape __________ Moly Y NNOTICE:Make copies of this registration form and pre-register for future matches by mail. NBRSA shoots are $75.00 and the Nationals are $80.00. Send form and entry check to:
Make copies of this registration form and pre-register for future matches by mail. NBRSA shoots are $75.00 and the Nationals are $80.00. Send form and entry check to: Jan Sarras 1608 Shady Oak Dr
Sparks, Nv. 89434
Make checks payable to: P.V.G.C. Inc. EMAIL Address________________________________________________
Entry fee is $80.00, (LRVNationals) pre-registration is requested 30 days prior to the match date or June 1st. The match is June 13th & 14th, 2009.
