2024 KTA Youth Championship at the Kansas State Shoot

Step 1 of 2: Submit

If you have any questions, please contact Jesse Secrest at 913-634-4735. We look forward to seeing you at the 2024 Kansas State Shoot!

Shooters First & Last name Shooters Address Shooters City and State Shooters Zip Code Shooters Date of Birth

Shooters Gender Male Female

Shooters ATA Number

Please mark your category based on your age as of September 1, 2023 Sub-Junior (Shooter not yet 15 years old) Junior (15 years old but not yet 18) Junior Gold (18 years old but not yet 23) Lady I (if you fall under any of the above, but plan to shoot as Lady I-full price targets) Sub-Junior (but playing options and/or paying full price for targets) Junior (but playing options and/or paying full price for targets)

Are you an AIM participant? Yes No

Your shell preference 12 Gauge 20 Gauge

Which team will you be shooting with? Please list squad mates and their preferred posts

I and/or my team prefer to shoot on: Friday, June 7, 2024 Saturday, June 8, 2024 No preference

Coaches First & Last name Coaches Telephone Number Coaches Email Address Parent/Guardian First & Last Name Parent/Guardian Email Address Parent/Guardian Telephone Number Email address for invoicing