Form
JOAD REGISTRATION
Parent/Legal Guardian Name
First Name
Last Name
Archer's Name
*
First Name
Last Name
Archer's Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Group (If you are registering for Lumberjacks, please choose both options that apply)
*
Novice
Intermediate
Advanced
Elite
Lumberjacks
Adult
Equipment Devision
*
Bare Bow
Basic Compound (Genesis Bows)
Olympic Recurve
Fixed Pin (Any compound with a multi pin sight & stabilizer under 12")
Compound (Moveable target sight & stabilizers over 12")
Do you own your equipment or will you need a rental?
*
Owned
Barebow (Basic Take Down Rental) $60
Basic (Genesis Rental) $60
Advanced (Fixed Pin Rental) $100
Recurve (ILF Rental) $100
Session
*
Please Select
Winter (Starts in January)
Summer (Starts in May)
Fall (Starts in September)
USA Archery Member #
blanks
*
Exp. Date
blank
*
If you are new to our program and already have USA Archery Achievement Awards, please select the last pin you received.
Green
Purple
Grey
White
Black
Blue
Red
Yellow
Bronze
Silver
Gold
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does this archer have any allergies, injuries, or special needs? Please list below or type none if this does not apply. Thank you!
*
Please verify that you are human
*
Submit
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