Tournament Type Rule 1.7

For Registered Tournaments, Turning Targets must be used. Distinguished Matches can only be conducted at a Registered Regional Tournament or State Championship Tournament.

Tournament Information Tournament Name:

Sponsoring Club/Agency:

Club Number: Tournament Date:

Range Name:

Range Address:

Range Type: Turning Target System ?

Tournament Officials Rules 11.2, 11.6, 11.8 & 11.11

Tournament Director:

Chief Range Officer:

Statistical Officer:

For Approved Tournaments – Tournament Supervisor Rule 11.6

A Tournament Supervisor is required for all Approved Tournaments. The Tournament Director may serve as the Tournament Supervisor IF the Tournament Director will NOT compete in the Tournament. Tournament Supervisors may not compete in the Tournament in any Sanctioned Match.

The Tournament Director is not competing and will serve as Tournament Supervisor. Our dedicated Tournament Supervisor will be;

Name Phone Number

E-mail Address

For Registered Tournaments - Three Member Jury Rule 11.5

A Three Member Jury is required for all Registered Tournaments. No Tournament Officials can serve on the Jury. The Jury Chairperson must be member of the sponsoring organization. Jury Members may be competitors but may not rule on matters they are personally involved. If Jury Member assignments are not known at time of application, write “To Be Determined” on the Jury Member name lines.

Chairperson Member 2 Member 3

We anticipate enough competitors to merit the request of an NRA Referee for our Tournament. If a Referee cannot be sent the above Jury Members will serve to hear Referee matters.

National Rifle Association Law Enforcement Division

Police Pistol Combat Tournament Application

Name Phone Number

E-mail Address

Name Phone Number

E-mail Address

Name Phone Number

E-mail Address

Edition 21.2

INSTRUCTIONS: 1) SAVE this form on your computer with your Tournament Name in the file name. 2) Then open your saved copy and fully complete the application and then SAVE it again. 3) E-mail a copy of your saved file WITH a copy of your Tournament Program in MS Word as an attachment to LEcompetitions@nrahq.org. If you do not receive a confirmation e-mail within 7 work days, or need other application assistance, please call NRA Law Enforcement Competitions at 703.267.1632.

Tournament Type::

Matches to be Conducted Rule Section 7

Duty Gun Division Matches

Stock Semi-Auto Pistol Match 14 Off Duty Semi-Auto Pistol Match 15A Production Pistol Match 23 Production Duty Optic Match 25 Stock Service Revolver Match 7 Off Duty Revolver Match 15R Four Officer Stock Semi-Auto Pistol Team Match 36 Two Officer Stock Semi-Auto Team Match 37 Four Officer Production Pistol Team Match 38 Two Officer Production Pistol Team Match 39

Open Class Division Matches

150 Round Open Class Semi-Auto Pistol: Matches 8 through 12

150 Round Open Class Revolver: Matches 1 through 5

60 Round Open Class Semi-Auto Pistol: NRA National Police Course Match 12

60 Round Open Class Semi-Auto Pistol: NRA National Police Course Match 5

Distinguished Semi-Auto Pistol Match 18 Distinguished Revolver Match 17 Distinguished Production Pistol Match 24 Four Officer Open Class Semi-Auto Team Match 32 Two Officer Open Class Semi-Auto Team Match 33 Four Officer Open Revolver Team Match 30 Two Officer Open Class Revolver Team Match 31

Tournament Point of Contact & Shipping Address

Name: E-mail:

Street Address:

City: State: Zip Code:

Mobile Phone: Other Phone:

NRA Membership or Classification #

Important Notice Regarding Liability While Conducting NRA Tournaments or Other Activities To ensure competitive shooting activities are carried on with the highest degree of care for the safety of all participants, spectators, and the general

public, it is the sole and exclusive responsibility of the NRA Approved or Registered Tournament Sponsor and the participating competitors to rigidly enforce all NRA official competition rules and regulations, all local range regulations, and specific range official instructions. The NRA makes no representation or warranty, express or implied, that the NRA Official Rules and Regulation, even if carefully observed, are sufficient in

themselves to provide conditions and procedures which ensure adequate safety precautions, or that NRA Certified Instructors, NRA Official Referees, or other persons shall properly interpret or enforce such rules. By approving or registering an event, the NRA makes no representation or

warranty, express or implied, that the persons conducting any Approved or Registered Tournament or the owners, tenants or licensees of the premises upon which such event is conducted, shall provide a shooting range and associated facilities which are reasonably safe, or that such

persons shall prescribe and enforce local range rules adequate to provide reasonable safety and to control the activities of any person or persons. As a condition of approving or registering any tournament, the sponsor, together with its agents, servants, employees, successors and assigns, shall be held harmless for any injury or damage to persons or property occurring either on the premises where the tournament takes place or as a result of such activity on the premises, unless caused by or resulting form the negligence of an NRA employee, officer, or Official Referee while properly

engaged in the discharge of NRA official business on the premises during the approved or registered activity or event.

Submitted By: ____________________________________________ Date Sent: ___________________________ For your Tournament to be considered by NRA Publications to be listed in the Coming Events section of Shooting Sports, your completed Tournament

Application along with your Tournament Program in MS Word MUST be Received and Sanctioned by NRA 120 days prior to the firing date.

NRA USE ONLY

Approved By: Date: Tournament Number:

Notations:

Edition 21.3