Registration: Youth Action Pistol League
  1. All information marked with (*) is required.
  3. Please list the contact information for the parent you want to be the primary contact for YAPL activities and information.
  4. Parent's First Name(*)
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  5. Parent's Last Name:(*)
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  6. Street & No.(*)
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  7. City(*)
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  8. State(*)
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  9. Zip(*)
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  10. E-mail(*)
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  11. Please re-enter your email address.
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  12. Preferred Phone Number (xxx-xxx-xxxx)(*)
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  13. Alternate Phone (xxx-xxx-xxxx)
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  14. Is a parent a PSC Member? (Not required for child to participate.)(*)
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  15. If yes, what is the PSC Membership Number?
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  16. Do you want to list another parent as a contact?(*)
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  18. Other Parent's First Name:(*)
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  19. Other Parent's Last Name:(*)
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  20. Parent's email:(*)
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  21. Please re-enter email address:(*)
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  22. Is the address the same as listed above?(*)
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  23. Address:(*)
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  24. City:(*)
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  25. State:(*)
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  26. Zip:(*)
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  28. Primary person to contact in case of emergency?(*)
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  29. Phone number for emergency contact:(*)
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  31. Please provide the information for your son or daughter participating in YAPL events. You will have the opportunity to list other sons/daughters.
  32. Son/Daughter First Name(*)
    Please type your full name.
  33. Son/Daughter Last Name(*)
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  34. Son/Daughter DOB (dd/mm/yyyy)(*)
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  35. Do you have another son/daughter participating?(*)
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  37. Please provide the information for your second son/daughter.
  38. Son/Daughter First Name(*)
    Please type your full name.
  39. Son/Daughter Last Name(*)
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  40. Son/Daughter DOB (dd/mm/yyyy)(*)
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  41. Do you have another son/daughter participating?(*)
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  43. Please provide the information for your third son/daughter.
  44. Son/Daughter First Name(*)
    Please type your full name.
  45. Son/Daughter Last Name(*)
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  46. Son/Daughter DOB (dd/mm/yyyy)(*)
    Invalid Input
  47. Do you have another son/daughter participating?(*)
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  49. Please provide the information for your fourth son/daughter.
  50. Son/Daughter First Name(*)
    Please type your full name.
  51. Son/Daughter Last Name(*)
    Invalid Input
  52. Son/Daughter DOB (dd/mm/yyyy)(*)
    Invalid Input
  54. Antispam Code:(*)
    Antispam Code:
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  55. By submitting this form, you certify that you are a parent or legal guardian of the minors you have identified in this registration form; that you authorize your son(s) and/or daughter(s) to possess, use and discharge firearms when participating in formal or informal Youth Action Pistol League activities at the PSC Shooting Club; and that you either have or will submit the attached written authorization properly signed and notarized prior to their participation in any Youth Action Pistol League events.