REGISTRATION FORM
2025 Indiana State Junior High Power Championship
June 14, 2025 at the Fort Wayne Rifle and Revolver Club
15715 Rupert Road; Harlan, IN
Match Program may be found here:
https://fwrrclub.org/index.php/2025/01/29/2025-junior-state-championship-match-bulletin/
Name: _______________________________ Age (As of 31 Dec 2025): ______
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 @ $12.00/each; # _____
For Junior Participants; an event T-shirt is free. Size (S, M, L, XL, XXL) ____ ____
Additional T-shirts for parents, sponsors and spectators @ $17.00/each:
Small _____ Medium _____ Large _____ X-Large ______ XX-Large _____
For additional information, contact Larry Beardsley at FWRRHPDirector@aol.com