Midwest regional Team – International Air Registration Please enable JavaScript in your browser to complete this form.Team NameCoach NameCoach PhoneCoach Email *ResidencyIndiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 miles of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name *FirstLast#1 Athlete AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email *Athlete #1 PhoneAthlete #1 Date of BirthAthlete #1 CMP Number#2 Athlete Name *FirstLast#2 Athlete AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#2 Athlete Email *Athlete #2 PhoneAthlete #2 Date of BirthAthlete #2 CMP Number#3 Athlete Name *FirstLast#3 Athlete AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email *Athlete #3 PhoneAthlete #3 Date of BirthAthlete #3 CMP Number#4 Athlete Name *FirstLast#4 Athlete AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email *Athlete #4 PhoneAthlete #4 Date of BirthAthlete #4 CMP NumberRelay Selection - International Air RifleN/ASunday, March 6th @ 2 pmSaturday, March 12th @ 3:30 pmSunday, March 13th @ 2 pmSaturday, March 19th @ 11 amSunday, March 20th @ 3:30Total$ 0.00Authorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit