1st Annual Hastings Tac Comp 2024 FOP Lodge #9 Hastings, NE [October 19th, 2024]

1st Annual Hastings Tac Comp 2024 FOP Lodge #9 Hastings, NE [October 19th, 2024]

Registration Form
Name of Participant*

First NameLast Name
Agency Name*
RANK*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Age*
Daytime Telephone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact*

First NameLast Name
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship *
If other please specify. If it does not apply, please put N/A*
Rifle make: make model: model
Rifle accessories: sights mods accessories accessories
Handgun make:make model model
Handgun accessories sights mods accessories accessories
Shirt Size: size Small - XXL
Signature*

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I certify that all information provided in the Participant Contract is accurate. This includes my name, address, date of birth.

I Further agree to abide by all Hastings Tac Comp 2024 Rules and Regulations.

I agree to indemnify the City of Hastings, Hastings Police Department or any employees against all liabilities, judgments, costs, damages and expenses that may be charged to or recovered from the City of Hastings, Hastings Police Department or any employee on account of damaged property, injury to or death of any person, arising from the use and occupancy of and operations at the Premises of the Hastings Police Departments Shooting Range.
Signature of Player*

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Date*

MonthDayYear
Date
My Products
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Registration
FEE

$40.00 Quantity

Total

$0.00
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