Sedgemoor Open Championships Entry Form - Sedgemoor Target Sprint Club

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Athlete Name *

First

Last

Date of Birth (dd/mm/yy) *

Competition / Target Size *

BSTS Grand Prix (35mm targets)
BSTS National Series (49.5mm targets)
Mixed Team (Pairs) (35mm only)

Pairs can be arranged on the day of the competition if you wish, but we need to know if you are interested.

Rifle Equipment *

I have my own rifle
I would like to borrow a rifle from the organiser

Supplied rifle will be Air Arms S400 MPR Sporter

British Shooting Safety Certificate *

Yes, current
Previous, but expired
No, never had one

If you have not held a certificate, you will need to receive a briefing and demonstrate competence before you can compete

Parent / Guardian Information (if Under 18)

First

Last

Contact Email *

Athlete or Parent/Guardian, where applicable

Mobile Phone *

Athlete or Parent/Guardian, where applicable

Address *

First

Last

Emergency Contact Name *

First

Last

Emergency Contact Mobile *

Medical Concerns you feel we should know about (if any)

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