ONLY FRIDAY/SATURDAY AM SLOTS AVAILABLE
CHECK ONLINE SQUADDING BEFORE SIGNING UP
YOU ARE RESPONSIBLE FOR SELECTION OF SQUAD
HERE

LEVEL 2 MATCH REQUIRES YOU TO BE A CURRENT USPSA MEMBER

First Name *

Last Name *

USPSA Number *

Division *

CLASS *

POWER FACTOR *

CATAGORY *

USING SELF SQUAD ON USPSA.ORG, A PIN NUMBER WILL BE EMAILED TO YOU ONCE YOUR ENTRY AND PAYMENT HAS BEEN PROCESSED AND ENTERED INTO ONLINE SQUADDING (THIS CAN TAKE UP TO 48 HOURS FROM REGISTRATION)

2 DAY MATCH INDICATE YOUR PREFERENCE, REQUIRED TO SELF SQUAD

ONLY FRIDAY/SATURDAY AM SLOTS AVAILABLE
CHECK ONLINE SQUADDING BEFORE SIGNING UP
YOU ARE RESPONSIBLE FOR SELECTION OF SQUAD
HERE
*

Street Address *

City *

State *

Zip Code *

Phone Number *

EMAIL ADDRESS (SELF SQUAD PIN NUMBER WILL BE SENT) * 🛈

CONFIRM EMAIL * 🛈

MATCH ENTRY FEE

NON REFUNDABLE AFTER AUGUST 10TH NO EXCEPTIONS
3% PAYPAL WILL BE ADDED TO YOUR ENTRY

STAFF AND SPONSORED SHOOTERS MUST CONFIRM WITH MATCH DIRECTOR BEFORE REGISTRATION

Send EMAIL To:

jake_martens@comcast.net

ALL ENTRIES RECEIVED BEFORE MAY 30TH WILL BE ENTERED FOR A CHANCE TO WIN AN AR-15 DONATED BY MATCH SPONSOR TARGET SPORTS OF SHERIDAN, IN

MATCH ENTRY FEE *

$145 FRIDAY/SATURDAY AM ONLY

$0 STAFF (MUST CONFIRM WITH MATCH DIRECTOR)

$0 SPONSORED (MUST CONFIRM WITH MATCH DIRECTOR)

STAFF ONLY

1 STAFF MATCH SHIRT IS INCLUDED, PLEASE INDICATE YOUR SIZE
(YOU CAN ORDER A COMPETITOR MATCH SHIRT, IT IS DIFFERENT COLOR)

STAFF ONLY SHIRT SIZE

Current Total: (3% PAYPAL FEE HAS BEEN ADDED)

$0.00

Credit Card Information

Our orders are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.

YOU MUST COMPLETE PAYMENT IN ORDER TO BE ENTERED INTO THE MATCH

IF YOU EXIT OUT OF THE PAYMENT SCREEN YOUR ENTRY WILL NOT BE PROCESSED YOU MUST CLICK CONTINUE AND PROCEED TO PAYPAL AND COMPLETE PAYMENT FOR YOU ENTRY TO BE RECEIVED