Black Bear Annual Championship Pre Registration Form

Please complete and submit the form below, specifically your name, NRA number, email and
the date you want to compete, to help us better prepare for this event.

Name*:
NRA Number*:
Date*:	--Select-- Aug. 16, 2024 Aug. 17, 2024
Email*:
Mailing Address:
City:
State:	Zip:
Phone:
Comments:
Validation code:	Enter validation code here: (required)