2022 Beat The Heat & Battle of Wau Tag

Name

Member Type Select hereFullCorrespondingJuniorLERAA KidsGuest/Family
LERAA Membership Number

I am registering for the following events and support roles. Please register for the LERAA Kids/Junior Coaching event if you will participate or coach. Please select all applicable activities that apply.
LERAA TagLERAA 25 (.22 comp)LERAA Kids/Junior CoachingBeat the Heat 7.62 EventLERAA Black 100ydRange OfficerScoring DetailTarget PartyAdministration

Licencing

Firearms LicenceP650N/A
Firearm Licence Number

At the date of the shoot my Firearms Licence will be
ValidExpired
Firearm Licence Category (tick all that apply)
ABC
Endorsement
TargetHuntingCollecting
My primary club for NSW FAR reporting is
LERAAOtherNot Applicable

My Details

Residential Address

Mobile

Email

Emergency Contact

Mobile

Identification

Drivers Licence Number

State
NSWACTVicQldTasSAWANT

Accommodation type :Select hereCamp onsiteCamp offsitetravel each day

Attendance
Saturday only $25Sunday only $25Both Days $50No fee
Payment method (Prepaid is preferred)
Cash on the dayPrepaid Direct Deposit

Direct Deposit Details:
Horizon Credit Union
Name: Lee Enfield Rifle Association Australia
BSB: 802 124
Account: 106626
Please enter your name as the Description

I will be using the following firearms/ammunition. Please list all firearms and ammunition details e.g. Commercial/Milsurp/Handload and specs