2011 IDPA Georgia State Championship SO Registration Page

First Name:
Last Name:
Email:
IDPA Number:
Are you a GADPA Member?
Have you signed both waivers? If you have shot with us at South River Gun Club, you will have both of these waivers on file. Please select yes in both boxes if you have.
Have you signed the GADPA Waiver?
Have you signed the South River Gun Club Waiver?
If you have never shot with us at South River Gun Club, you will need to fill out both a range waiver and club waiver and fax them to 678 324 2095 in order to complete your registration. You may also mail them to: GADPA 4340 Park Brooke Trace, Alpharetta, GA 30022
In what division and class will you be shooting? (You must be classified to shoot this match.)
Division:
Classification:
Senior:
Distinguished Senior:
Lady:
law Enforcement:
Junior (<18 yrs):
Active Military:
Military Veteran:
Press:
Industry:
International:
Manufacturer:
Model:
Caliber:
Shirt Size (1 Included):
Quantity: Extra shirts (more than 1) are $15.00 each.
Other Comments:

Please Read the steps to COMPLETE YOUR REGISTRATION
Step 1) Complete the form above
Step 2) Enter the spam blocker code in the text box below the image
Step 3) Click the Submit button
After submitting the form:
Step 4) Choose a payment method, click the appropriate button and check out using PayPal or Google Checkout

After you click the Submit button, you can add the match fee to the shopping card and then check out using PayPal or Google Checkout. If you are registering more than one person, you must submit this form once for each person. If you choose to mail your payment, please tell us by typing a comment in the "Other Comments" text box above. If we do not receive your payment within 2 weeks of your registration, you will be dropped from the roster. If you have any questions, please email the match director.
Spam Blocker: Enter the text shown in the box below the image.
Spam Blocker: Enter the text shown in the box below the image.
Blocker:

Sorry, the comment form is closed at this time.