2009/2010
Tennessee
State High School Position Air Rifle Championship
ENTRY
REQUEST (Print or type/submit by 19 March)
TO: Will Norton
Montgomery
Bell Academy
4001 Harding Road
Nashville TN
37205
FROM: Coach _____________________________ Phones: Home ( )
___________
School ______________________________ Work ( )
____________
Address ______________________________ FAX ( )
____________
_______________________________ E-mail: ______________________
1. We wish to enter: ____ competitors
X $20 each =
Total entry fees $ _____
Schools must have at least four
individual entries to form a team.
There is no additional entry fee for the team entries. A school may enter more than one team.
2. Your school will receive one championship T-shirt for each individual entry. Indicate the number of
T-shirts by size that you wish
to order for your athletes:
T-shirts
for competitors: Male sizes S ___ M ___ L ___ XL ___ XXL ___
3. Additional championship T-shirts for coaches, family and
friends may be ordered for $10 each.
Please indicate the number of
additional T-shirts by size that you wish to order for your school:
Additional
T-shirts: Male sizes S ___ M ___ L ___ XL ___ XXL ___
Charge
for extra shirts ___ X $10 = $ _____ (Include payment with entry fees)
4. Please estimate number of competitors in each class: Sporter Class _____ Precision
Class _____
5. SQUADDING.
Indicate your relay preference with a 1, 2, and 3 in the spaces below:
Friday - 9 Apr: Relay 1 (1:30 to 4:00pm) _____ Relay 2
(4:00 to 6:30pm) _____
Relay 3 (6:30 to 9:00pm) _____
Saturday - 10 Apr: Relay 4 (9 to 11:30am)
_____
Relay 5 (11:30am to 2:00pm) _____
6. A check for the following is enclosed: Entry fees $_____ +
Extra T-shirts $ _____
= $ _____
Please make your check
payable to MBA. Checks will not be cashed
prior to 19 March 2010.
Signature
________________________ Date
__________
Entry Request and the
appropriate fees must be received by Coach Sharbel not later than 19 March to assure your T-shirt order
will be waiting for you at the match.