Illinois State JOAD Indoor Championship

Use this form to register on-line, you will receive confirmation. You can pay when you arrive.

1st Fill in all required info on the form below. Don't print this page. You will be able to print your registration form on the next page.
2nd After you have entered your information go to the bottom of this form click on the Submit Form button.
3rd Wait until the Registration form appears with your info on it, if you see any mistakes click your Back button and return to this page, make the correction and click the Submit Form button again.
4th When you are viewing the Registration form, print two copies, keep one and mail one to the address on the form.

Please provide all of the following  information:

First Name:
Last Name:
Middle Initial:
Address:
City:
State:
ZIP:
Phone:
E-mail:
Date of Birth:
Gender:
Bow Type:
Practice Time: 8:00 AM
12:00 PM
Target Preference: Single Spot
Triangular Three Spot
Division: 

Junior  Up to and in the year of the 18th Birthday 
Cadet  Up to and in the year of the 16th Birthday
Cub Up to and in the year of the 14th Birthday
Bowman Up to and in the year of the 12th Birthday
Archer Up to and in the year of the 18th Birthday (non-competitive)
JOAD CLUB:
Archery Club:
NAA Member: Yes No
IL State Resident: Yes No
   
NAA Expiration Date: Year:
Comments:

Revised: 01/10/05