REGISTRATION FORM
2026 Indiana State Junior High Power Championship
June 20, 2026 at the Fort Wayne Rifle and Revolver Club
15715 Rupert Road; Harlan, IN
(See the Match Bulletin for details)
Name: _______________________________ Age (As of 31 Dec 2026): ______
Address:_________________________
City: _____________________ State: ________ ZIP: _________
Club Affiliation: ___________________________________
Email: ________________________ Match Bulletin is located at:
For Junior Participants; Lunch is free. I want a free lunch: ___ YES ____ NO
Additional lunches for parents, sponsors and spectators @ $12.00/each; # _____
For Junior Participants; an event T-shirt is free. Size (S, M, L, XL, XXL) ____ ____
Registration must be received by May 16th to reserve a T-shirt, subject to minimum order quantity. All fees collected at registration.
For additional information, contact Larry Beardsley at FWRRHPDirector@aol.com