33DE164368 by | Dec 30, 2018 THAGC January Match 1/5/19 Regis. ID: 33DE164368 Location Pleasant Hill, NC Payment Details Payment Method Payment by Cash at the event. Registration Status Pending Payment Total $10.00 Amount Paid $0 Balance Due $10.00 Details January 5, 2019 Qty THAGC Members1 Primary Registrant THAGC Field Target First Name Gerald Last Name Long Number and Street 1519 Colonial Ave. e.g., 123 Elm St. City Greensboro State | Province | Territory NC Use the two letter code, eg, PR, CA, NC, NB Zip or Postal Code 27408 Phone Number 3362078786 A cell phone number is preferred. Email firstname.lastname@example.org Email is our main means of communication. Rifle (make and model) Thomas e.g. Air Arms S500, HW 34, Beeman R9, Steyr LG100, RWS 54, etc. Pellet (manufacturer and weight) JSB 8.4 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) Leupold Comp 40 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) WFTF PCP or Piston? PCP Select either PCP or piston. Pistol (make and model) N/A 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.