© The Somerset Small Bore Shooting Association : 2012-
The Somerset Open Shoot - 22nd April 2018 - Entry Form
Competitor's Details
Fields marked * are essential
First Name *
Surname *
Street Address
Town
County *
Post Code
Telephone *
Email *
Confirm Email *
Club *
NSRA No.*
Average
Class Entered *
Class X : 97.5 & over Class A : 96.0 - 97.4 Class B : 93.5 - 95.9 Class C : 93.4 & below
If no average is given, class X will be allocated. The Committee reserves the right to re-classify competitors.
If you are left handed please check the box: -
Data Protection - Your details will be held on a computer for SSBSA competition use only - they will not be passed to third parties. Results including your surname and initial and club name if appropriate will be published on the SSBSA website.If you wish to have your name omitted please note your request in the additional information box at the foot of this form
DECLARATION - Please read the following statements & check the boxes to confirm your agreement: -I confirm that the above details & my declared average are correct & have been verified by my Club Captain/Secretary/Stats Officer: - * I confirm that I have read, accept, and agree to abide by the Competition Rules: - *
Squad required:
1st Choice *
Squad 1 - 09:30 Squad 2 - 11:20 Squad 3 - 13:10 Squad 4 - 15:00
2nd Choice
3rd Choice
Entries will be squadded strictly in order of receipt. Cross squadding is not permitted.
Competition Entry
Insert the fee(s) in the Totals column to indicatewhich competition(s) you are entering
Entry Fee
Totals
Aggregate (Excluding juniors)
£15.00
£
Junior Championship (Including aggregate)(Age under 21 on 31st December next)
£7.50
Open Ladies Championship
£2.00
Veterans (Age 60 or over on 31st December next)
Pairs (£2.00 each / £4.00 per pair) Partner's name
£2.00/£4.00
Open Team Championship - Club team of 4 (Price is for the team)Club name Please list your fellow team members' names below.
£4.00
Inter Club Team Handicap Competition - SSBSA Affiliated Clubs Team of 4 (Price is for the team)Club Name Please list your fellow team members' names below.
Somerset SuperDraw (Delete if not required)
£1.00
NB: Your fee will be collected on your arrival at the range
Total Due
If you have entered a team of 4 for the Open Team Championshipplease list your 3 fellow team members here: -(NB: All team members must be from the same Club & have entered the aggregate competition)
If you have entered a team of 4 for the IC Handicap Team Championshipplease list your 3 fellow team members here: -(NB: All team members must be from the same Club & have entered the aggregate competition)
Additional information
And finally ... To help stop automated spam messages, please answer this question: -
What is the name of the city closest to Long Ashton? *