DML ADVENTURE X : FIESTA CUP

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Do not input the number “0”Format: (000) 000-0000.

Gun Club

IPSC Discipline

IPSC Division

Power Factor

IPSC Category

Special Categories

Preferred Squad

REGISTRATION FEE

MODE OF PAYMENT

Proof of Payment

By clicking on the SUBMIT button, I hereby signify that I am participating in this practical shooting competition under my own free will and do hereby absolve the organizers, the members, staff, and officers of the PHILIPPINE PRACTICAL SHOOTING ASSOCIATION, officers and members of the NATIONAL RANGE OFFICERS INSTITUTE, match officials, the officers and members of MAG22 Gun Club, Inc, the management and employees of MAG22 Shooting Range, from any injuries that I may suffer during the competition, from any fatal injury that I may sustain.

I further understand that expressing disrespect towards the range officials and fellow competitors may result in a match disqualification due to unsportsmanlike conduct (Rule 10.6.1).