Name
Email
Home Phone
Work Phone
Address 1
Address 2
City, State, Zip
Small
 Med
 Large
T-Shirt Size:
XL
 XXL
NSCA #
NSCA Class
 M
 AA
 A
 B
C
D
 E
 Hunter
Lady
 Junior
 Sub Junior
Concurrent
Vet
Super Vet
 Sen Sup Vet
Events
 Event #1: 50 Target Side x Side
(European Rotation Wednesday)  $50.00
Lewis Option $10.00
Class Option $5.00
Event #2: 50 Target Pump Gun
(European Rotation Wednesday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #3: 50 Target Prelim
(European Rotation Wednesday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #4: 50 Target Sporting
(Thursday) $50.00
Lewis Option $10.00
Class Option $5.00
9 am
 1 pm
Event #5: 50 Target 20 Gauge
(European Rotation Thursday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #6: 50 Target .410 Bore
(European Rotation Thursday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #7: 50 Target 5-Stand
(European Rotation Thursday) $60.00
Lewis Option $10.00
Class Option $5.00
Event #8: 100 Target Prelim
Clark Knauss Memorial Shoot
(Friday) $100.00
Lewis Option $10.00
Class Option $5.00
8am
11am
 2pm
Event #9: 50 Target 28 Gauge
(European Rotation Friday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #10: 50 Target 5-Stand
(European Rotation Friday) $50.00
Lewis Option $10.00
Class Option $5.00
Event #11: 100 Target FITASC
(2 Rotations on Wed, Thurs, or Fri) $130.00
Event @ Carson Valley Clays
Lewis Option $10.00
Class Option $5.00
Please select both a day & a time!
Wed
 Thurs
 Fri
9am
 1pm
Event #12: 100 Target 5-Stand Main
(50 Sat / 50 Sun) $85.00
Lewis Option $10.00
Class Option $5.00
Event #13: 200 Target Main
(100 Sat / 100 Sun) $175.00
$200.00 after July 31st
Lewis Option $10.00
Class Option $10.00
High Gun Option $10.00
Lucky Number- Sat Score $5.00
Junior & SubJr Trophies ONLY $75.00
Flight #1 8am Sat / 11am Sun
Flight #2 11am Sat / 2pm Sun
Flight #3 2pm Sat / 8am Sun
2 Person Carts: $50/day or $200/5days
Wed
 Thurs
 Sun
Fri
 Sat
Any squad changes will be charged a $5.00 fee!
Squadding
Requests &
Comments:
Payment
Information:
I will mail a check to address below.

Please call me for credit card information.
*Confirmation of registration will be emailed within
5 business days.

*Mail your check payable to Capitol City Gun Club to:
CH Shoot Results
4204 Rockhouse Road
Mojave, CA 93501
2009 Nevada State Championships:
Registration Form