2021 Southern States Classic
ENTRY FORM
NAME_________________________________________________________________
ADDRESS______________________________________________________________
CITY____________________________________STATE ________________________
ZIP CODE____________________PHONE___________________________________
EMAIL_________________________________________________________________
CURRENT NRA HIGHPOWER CLASSIFICATION** (circle) HM MA EX SS MK
RIFLE TYPE Service Rifle (Are you distinguished? YES NO )
Match Rifle
T-SHIRT SIZE – Friday or Saturday entries only (circle) S M L XL XXL XXXL
SPECIAL CATEGORY (circle) Civilian Service Junior Senior Woman
I WISH TO ENTER (circle one)
Thursday Team Match - $60 per team, PAID AT REGISTRATION THURSDAY MORNING
Do you intend to shoot in the team match? YES NO
Friday only - $35
Saturday only - $55 Friday/Saturday only - $90
Sunday only - $25 Saturday/Sunday only - $80
Package all 3 days - $115
I AM SHARING A RIDE WITH____________________________________________
CAMPERS: # Days using camper hook ups for water/power __________________
PLEASE MAIL NO LATER THAN May 11, 2021. Pre-registration is REQUIRED.
Make checks payable and mail entries to:
John Schudel
2024 Township Drive
Woodstock, GA 30189
Questions? John Schudel fl3gun@bellsouth.net
**Note: Unclassified shooters must have previous experience shooting High Power matches,
scoring, and pulling targets.