Midwest Regional Individual Registration Please enable JavaScript in your browser to complete this form.Athlete's Name *FirstLastResidencyIndiana ResidenceNon-Indiana ResidentAdaptive StatusNon AdaptiveSH1SH2AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *PhoneDate of BirthCMP NumberSmallbore RelayN/ASaturday, March 5th @ 8 amSunday, March 13th @ 8 amSunday, March 20th @ 9 am3P Air Rifle RelayN/ASaturday, March 5th @ 1:30 pmSunday, March 6th @ 12 pmSaturday, March 12th @ 1:30Sunday, March 13th @ 12 pmSaturday, March 19th @ 1 pmSunday, March 20th @ 1:30International Air RifleN/ASunday, March 6th @ 2 pmSaturday, March 12th @ 3:30 pmSunday, March 13th @ 2 pmSaturday, March 19th @ 11 amSunday, March 20th @ 3:30 pmInternational Air PistolN/ASaturday, March 19th @ 6:30 pmSunday, March 20th @ 5:30 pmSunday, March 27th @ 1:00 pmSaturday, March 27th @ 3:00 pmTotal$ 0.00Authorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit