Midwest Regional Air Pistol Team – International Air Pistol Registration Please enable JavaScript in your browser to complete this form.Coach Name *Coach Phone *Coach Email *Number of Teams Registering *OneTwoThreeFourFiveTeam One Name *Team One Residency *Indiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 minutes of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name - Team One *FirstLast#1 Athlete Address - Team One *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email - Team One *Athlete #1 Phone - Team One *Athlete #1 Date of Birth - Team One *Athlete #1 CMP Number - Team One *Athlete #1 Relay Selection - Team One *N/ASunday, March 19th @ 12:00 pm#2 Athlete Name - Team One *FirstLast#2 Athlete Address - Team One *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#2 Athlete Email - Team One *Athlete #2 Phone - Team One *Athlete #2 Date of Birth - Team One *Athlete #2 CMP Number - Team One *Athlete #2 Relay Selection - Team One *N/ASunday, March 19th @ 12:00 pm#3 Athlete Name - Team One *FirstLast#3 Athlete Address - Team One *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email - Team One *Athlete #3 Phone - Team One *Athlete #3 Date of Birth - Team One *Athlete #3 CMP Number - Team One *Athlete #3 Relay Selection - Team One *N/ASunday, March 19th @ 12:00 pm#4 Athlete Name - Team One *FirstLast#4 Athlete Address - Team One *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email - Team One *Athlete #4 Phone - Team One *Athlete #4 Date of Birth - Team One *Athlete #4 CMP Number - Team One *Athlete #4 Relay Selection - Team One *N/ASunday, March 19th @ 12:00 pmTeam Two Name *Team Two Residency *Indiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 minutes of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name - Team Two *FirstLast#1 Athlete Address - Team Two *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email - Team Two *Athlete #1 Phone - Team Two *Athlete #1 Date of Birth - Team Two *Athlete #1 CMP Number - Team Two *Athlete #1 Relay Selection - Team Two *N/ASunday, March 19th @ 12:00 pm#2 Athlete Name - Team Two *FirstLast#2 Athlete Address - Team Two *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#2 Athlete Email - Team Two *Athlete #2 Phone - Team Two *Athlete #2 Date of Birth - Team Two *Athlete #2 CMP Number - Team Two *Athlete #2 Relay Selection - Team Two *N/ASunday, March 19th @ 12:00 pm#3 Athlete Name - Team Two *FirstLast#3 Athlete Address - Team Two *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email - Team Two *Athlete #3 Phone - Team Two *Athlete #3 Date of Birth - Team Two *Athlete #3 CMP Number - Team Two *Athlete #3 Relay Selection - Team Two *N/ASunday, March 19th @ 12:00 pm#4 Athlete Name - Team Two *FirstLast#4 Athlete Address - Team Two *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email - Team Two *Athlete #4 Phone - Team Two *Athlete #4 Date of Birth - Team Two *Athlete #4 CMP Number - Team Two *Athlete #4 Relay Selection - Team Two *N/ASunday, March 19th @ 12:00 pmTeam Three Name *Team Three Residency *Indiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 minutes of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name - Team Three *FirstLast#1 Athlete Address - Team Three *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email - Team Three *Athlete #1 Phone - Team Three *Athlete #1 Date of Birth - Team Three *Athlete #1 CMP Number - Team Three *Athlete #1 Relay Selection - Team Three *N/ASunday, March 19th @ 12:00 pm#2 Athlete Name - Team Three *FirstLast#2 Athlete Address - Team Three *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#2 Athlete Email - Team Three *Athlete #2 Phone - Team Three *Athlete #2 Date of Birth - Team Three *Athlete #2 CMP Number - Team Three *Athlete #2 Relay Selection - Team Three *N/ASunday, March 19th @ 12:00 pm#3 Athlete Name - Team Three *FirstLast#3 Athlete Address - Team Three *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email - Team Three *Athlete #3 Phone - Team Three *Athlete #3 Date of Birth - Team Three *Athlete #3 CMP Number - Team Three *Athlete #3 Relay Selection - Team ThreeN/ASunday, March 19th @ 12:00 pm#4 Athlete Name - Team Three *FirstLast#4 Athlete Address - Team Three *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email - Team Three *Athlete #4 Phone - Team Three *Athlete #4 Date of Birth - Team Three *Athlete #4 CMP Number - Team Three *Athlete #4 Relay Selection - Team Three *N/ASunday, March 19th @ 12:00 pmTeam Four Name *Team Four Residency *Indiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 minutes of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name - Team Four *FirstLast#1 Athlete Address - Team Four *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email - Team Four *Athlete #1 Phone - Team Four *Athlete #1 Date of Birth - Team Four *Athlete #1 CMP Number - Team Four *Athlete #1 Relay Selection - Team Four *N/ASunday, March 19th @ 12:00 pm#2 Athlete Name - Team Four *FirstLast#2 Athlete Address - Team Four *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAthlete #2 Phone - Team Four *Athlete #2 Date of Birth - Team Four *Athlete #2 CMP Number - Team Four *Athlete #2 Relay Selection - Team Four *N/ASunday, March 19th @ 12:00 pm#3 Athlete Name - Team Four *FirstLast#3 Athlete Address - Team FourAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email - Team Four *Athlete #3 Phone - Team Four *Athlete #3 Date of Birth - Team Four *Athlete #3 CMP Number - Team Four *Athlete #3 Relay Selection - Team Four *N/ASunday, March 19th @ 12:00 pm#4 Athlete Name - Team Four *FirstLast#4 Athlete Address - Team Four *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email - Team Four *Athlete #4 Phone - Team Four *Athlete #4 Date of Birth - Team Four *Athlete #4 CMP Number - Team Four *Athlete #4 Relay Selection - Team Four *N/ASunday, March 19th @ 12:00 pmTeam Five Name *Team Five Residency *Indiana Team (All Members are Indiana Residents)National Team (Local Club - Non Indiana Team but all members live within 90 minutes of the registering club)National Team (Open Club - No restrictions on distance from the club)#1 Athlete Name - Team Five *FirstLast#1 Athlete Address - Team Five *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#1 Athlete Email - Team Five *Athlete #1 Phone - Team Five *Athlete #1 Date of Birth - Team Five *Athlete #1 CMP Number - Team Five *Athlete #1 Relay Selection - Team Five *N/ASunday, March 19th @ 12:00 pm#2 Athlete Name - Team Five *FirstLast#2 Athlete Address - Team Five *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#2 Athlete Email - Team Five *Athlete #2 Phone - Team Five *Athlete #2 Date of Birth - Team Five *Athlete #2 CMP Number - Team Five *Athlete #2 Relay Selection - Team Five *N/ASunday, March 19th @ 12:00 pm#3 Athlete Name - Team Five *FirstLast#3 Athlete Address - Team Five *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#3 Athlete Email - Team Five *Athlete #3 Phone - Team Five *Athlete #3 Date of Birth - Team Five *Athlete #3 CMP Number - Team Five *Athlete #3 Relay Selection - Team Five *N/ASunday, March 19th @ 12:00 pm#4 Athlete Name - Team Five *FirstLast#4 Athlete Address - Team Five *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code#4 Athlete Email - Team Five *Athlete #4 Phone - Team Five *Athlete #4 Date of Birth - Team Five *Athlete #4 CMP Number - Team Five *Athlete #4 Relay Selection - Team Five *N/ASunday, March 19th @ 12:00 pmTotal$ 0.00Authorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit