Registration form OKTS steel match, 11.2.2012

First name:		Last name:
IPSC alias:
E-mail:
Club / tag:
Region:	- Select from list - Argentina Aruba Australia Austria Barbados Belgium Bosnia Herzegovina Brazil Bulgaria Canada Channel Islands Chile China Colombia Croatia Czech Republic Denmark Ecuador Egypt El Salvador Estonia Finland Germany Greece Guam Guatemala Guyana Honduras Hong Kong Hungary Ireland, Republic Of Isle Of Man Israel Italy Jamaica Japan Kazakhstan Kuwait Latvia Liechtenstein Lithuania Macau Malaysia Malta Moldova Monaco Namibia Netherlands Netherlands Antilles New Zealand Nicaragua Norway Papua New Guinea Paraguay Philippines Poland Portugal Puerto Rico Romania Russia Saint Lucia Serbia Slovak Republic Slovenia South Africa Spain Sri Lanka Suriname Sweden Switzerland Thailand Trinidad And Tobago Ukraine United Kingdom United States Uruguay Venezuela Zimbabwe (Not Listed)

Division:

- Select from list - Production Standard Open Revolver Classic

Power Factor:

- Select from list - Minor Major

Date of birth:			- Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Month - January February March April May June July August September October November December - Year - 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911
Sex:			- Select from list - Male Female

Select squad to shoot in:

- Select from list - Squad 1 (Early shift) 1 slot left Squad 3 (Early shift) 1 slot left Squad 4 (Mid shift) 2 slots left Squad 6 (Mid shift) 2 slots left Squad 7 (Late shift) 2 slots left Squad 8 (Late shift) 5 slots left Squad 9 (Late shift) 1 slot left Prematch Note: Select prematch only after agreement with MD!