178730F89C by | Apr 17, 2016 April Field Target Regis. ID: 178730F89C Payment Details Payment Method Pay now with Paypal: Registration Status Complete Total $10.00 Amount Paid $10.00 Balance Due $0 Details April 30, 2016 Qty Club Member1 Primary Registrant THAGC Field Target First Name Dwight Last Name Myers Number and Street 4400 Riverport Rd e.g., 123 Elm St. City Raleigh State | Province | Territory NC Use the two letter code, eg, PR, CA, NC, NB Zip or Postal Code 27616 Phone Number 9197440390 A cell phone number is preferred. Email email@example.com Email is our main means of communication. Rifle (make and model) Air Arms S500 e.g. Air Arms S500, HW 34, Beeman R9, Steyr LG100, RWS 54, etc. Pellet (manufacturer and weight) AA 10.3 Please input your rifle pellet and weight that you will be shooting, e.g., JSB 10.3, CPH 10.5, JSB 7.9, etc Scope (manufacturer, model, and power) Hawke 6-24x50 Please input your scope manufacturer, model and power, e.g, Leupold Comp 35, Hawke Sidewinder 3-12, Sightron Siii 10-50, etc. Class (Open, Hunter, WFTF, Unlimited) Hunter PCP or Piston? PCP Select either PCP or piston. Pistol (make and model) Crosman 1720t e.g. none, FWB P30, FX Ranchero, etc. (N/A if you are not competing in pistol comp). Junior Divison (check this only if shooter is sixteen or less) Do you agree to read and follow THAGC safety rules? I agree Please acknowledge that you will comply with safety rules and follow the directions of the range/safety officer. Do you agree to sign the waiver? I agree Please agree to sign the waiver of liability at the event.