Irish Practical Shooting Association - IPSA

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Online Competition Entry Form

IPSA Sanctioned Practical Pistol Online Competition Entry Form

Competition (e.g. Level II)*:

Date*:

Venue*:

Forename*:

Surname*:

Address:

Club/Organisation*:

Telephone*:

Email Address*:

Competition Division*:

Category*:

Classifications*:

IPSC Region*:

Membership Number*:

DOB - ddmmyyyy*:

Do you agree to pictures of you being used to promote IPSC & IPSA events?*:

For RO's & trainee RO's to complete only. Please indicate your intentions from the list*: