2023 Indiana State Junior High Power Championship
June 24, 2023 at the Fort Wayne Rifle and Revolver Club
15715 Rupert Road; Harlan, IN
(See the Match Program for details)
Name: _______________________________ Age (As of 31 Dec 2023): ______
Address:_________________________
City: _____________________ State: ZIP: _________
Club Affiliation: ___________________________________
Email: ________________________
For Junior Participants; Lunch is free. I want a free lunch: ___ YES ____ NO
Additional lunches for parents, sponsors and spectators @ $11.00/each; # _____
For Junior Participants; an event T-shirt is free. Size (S, M, L, XL, XXL) ____
Additional T-shirts for parents, sponsors and spectators @ $12.00/each:
Small _____ Medium _____ Large _____ X-Large ______ XX-Large _____
For additional information, contact Larry Beardsley at FWRRHPDirector@aol.com