SA Rifle Nationals Entry Form

This is the entry form for the Rifle Nationals in Polokwane, main match.  There are very limited slots available for this match, so please make payment immediately to reserve your slot.


Name *

Surname *

Gender *

Email Address *

Contact Number *

Region *

Other Region (if not South Africa)

Province Name * (South Africa)

SAPSA Member Number * (International visitors use "0000")

Match Specifics

Division *

Power Factor *

Category *

Prize Giving

(At clubhouse after the match)

Attending Prize Giving? *

Additional NON-shooters (+ R100 each for a meal and drink)

Terms and Conditions *
I hereby indemnify and hold harmless the organizers of this competition from any claims, actions, demands or costs made, or which may be made against my dependants arising out of my participation in and/or attendance at the said competition. I hereby waive and abandon any claim which I may have against any aforementioned persons arising out of the aforesaid circumstances.

You must accept the Terms and Conditions above before submitting your Match Entry.