Midwest Regional Individual Registration Please enable JavaScript in your browser to complete this form.Athlete's Name *FirstLastResidency *Indiana ResidenceNon-Indiana ResidentAdaptive Status *Non AdaptiveSH1SH2VIAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Date of Birth *CMP Number *Smallbore Relay *N/ASaturday, March 4th @ 8:30 amSaturday, March 11th @ 8:30 amFULL - DO NOT USE Saturday, March 18th @ 3:30 pmSunday, March 19th @ 9:00 am3P Air Rifle Relay *N/AFriday, March 3rd @ 5:00 pmSaturday, March 4th @ 11:30 amSaturday, March 4th @ 1:30 pmSaturday, March 4th @ 3:30 pmSunday, March 5th @ 12:00 pmSaturday, March 11th @ 1:30 pmSunday, March 12th @ 12:00 pmSaturday, March 18th @ 12:00 pmInternational Air Rifle *N/ASaturday, March 4th @ 5:30 pmSunday, March 5th @ 2 pmSaturday, March 11th @ 11:30 amSaturday, March 11th @ 3:30 pmSunday, March 12th @ 2:00 pmSaturday, March 18th @ 10 amInternational Air Pistol *N/ASunday, March 19th @ 12:00 pmTotal *$ 0.00Authorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit