US Intercollegiate Archery Championship - hosted by James Madison Univ, 19-22 May 2011 This registration form is for current and active USCA members who are competing in USIAC. WUG ONLY REGISTRANTS: If you are ONLY competing for a position on the WUG team, use the separate registration form on the USCA website. Current and active USCA members who also are competing for a postion on the WUG Team, must check the appropriate box and bring the required documentation, deposits, and information as outlined on the USCA website at www.uscollegiatearchery.org in order to be named to the WUG Team. Registration Fee: USCA Athlete members - $110 for USIAC & Wug Trials. Non-USCA members trying out for WUG team only: $125 Banquet and t-shirt included. NEW ARCHER HONORS: To qualify as a New Archer, the athlete must have not had any archery experience until this academic year, with the exception of a brief camp experience such as at boy scout or girl scout camp. If the archer has hunted with a bow, shot a difference discipline than current discipline or has any archery experience other than as outlined above, the archer does not qualify as to earn the title of Best New Archer. If you are registering more than 12 athletes, you will need to do multiple registrations. Contact Person Name * Address * City, State, Zip * Email * Phone * Name of University * 1. Participant's Name * Division * Compound Recurve Bowhunter Men or Women Class * Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 2. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 3. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 4. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 5. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 6. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 7. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 8. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 9. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 10. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 11. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No 12. Participant's Name Division Compound Recurve Bowhunter Men or Women Class Men's Women's Qualify as New Archer* (see notes) * Yes No Are you trying out for the WUG Team? * Yes No Each registrant will receive a t-shirt as part of the registration fee. Provide the number of t-shirts in each size below. Small * Medium * Large * X-Large * XXL * Additional T-shirts $XX each, include size and qty Number of BBQ Tickets $XX each (Friends & Family welcome) * Number of Addt'l Banquet Tickets $XX each * Total # of registrations * Total of Additional T-shirts @ $XX * Total # of BBQ tickets Qty x $XX * Total Amount of payment (add registrations, BBQ tickets, additional Banquet and T-shirts * You can pay with a credit card via paypal. Paypal account is not required. If paying by checks, send payment USCA at PO Box 1537 Ridgecrest, CA 93556 I accept and agree to abide by the USCA Code of Ethics * Yes No (You cannot participate if you select this option) I have read and accept the USCA Liability waiver * Yes No (You cannot participate if you select this option) Tournament Registration Fee Refund Policy: Refunds will be given, less 20%, until midnight 4 May 2011. No refunds will be given after1 May on t-shirt orders, BBQ or Banquet tickets.