Florida State ICORE Championship

Florida State ICORE Championship
When:
Saturday, February 21, 2015
Match packet pick up from 7:30 a.m.-8:30 a.m.  Shooters’ brief at 8:45 a.m.  Match starts at 9 a.m.
Where:
Central Florida Rifle & Pistol Club, 14646 Wewahootee Road, Orlando, Florida
For directions, visit the club’s website (http://www.cfrpc.com/directions.html)
Stages:
8 stages, plus chrono stage
Prizes:
Prizes will be awarded. To be eligible, you must be an ICORE member in good standing with a current
classification.
Provided:
Water stations, match T-shirt, and lunch
Fill out this entry form completely. Use the form fields, or print so all the information is legible.
Name:
ICORE #:
Street Address:
City:
State:
Phone:
Email:
Zip:
Note: If no Division and/or Classification selected, participant will automatically be entered as Open and/or Unclassified.
Division:
 Classic
Classification:
 GM
 Limited
 M
 A
 B
 Open
 C
 D
 Unclassified
Special categories (select all that apply):
 Lady
 Senior (55-64 on day of match)
 Junior (under 18 on day of match)
 Super Senior (65 or older on day of match)
T-shirt size:
 S
 M
 L
 XL
 2XL
 3XL
Squadding request:
Cost: .................................................................... $75 (includes match T-shirt and lunch)
Make check payable to: ....................................... Central Florida Rifle & Pistol Club
Mail completed entry form and check to: ........... Florida State ICORE Championship
4901 Heatherstone Place, Orlando, Florida 32812
Match Director: ................................................... Dick DiVittorio, (407) 473-2754, dickd1911@gmail.com
Entry form must be received by: ......................... Saturday, February 7, 2015
► Release and Waiver: Club policies require that all match participants must show a current club membership card or show a current
club Extended Release and Waiver card the day of the match or complete an Extended Release and Waiver. The Extended Release
and Waiver form can be downloaded from http://www.cfrpc.com/images/documents/CFRPC_Extended_Release_2014-15_F.pdf. You
can send the completed Extended Release and Waiver form with your match entry form, fill out the form and bring it with you to the
match, or complete the form the day of the match. Spectators at the match must complete a Guest/Student Release and Waiver; the
Release form for visitors is available on the home page of the club’s website at http://www.cfrpc.com/.