PRE-REGISTRATION FORM (PLEASE PRINT CLEARLY) POSTMARK BY 2/21/09

NAME______________________________            Mail or email to Ed Bickham

ADDRESS___________________________                       6353 Godwin Blvd

CITY-ZIP ___________________________                       Suffolk, VA 23432

VBA #__________ CLUB_______________Phone #______________ E-Mail __________________

One form per archer, circle or X what applies:

                        55+                                          Birthdate for YA, Youth, CUB_____________

DIVISION: SENIOR___ADULT___YOUNG ADULT___YOUTH___CUB__

SEX:     MALE___ FEMALE___   Sat Round #______ Sunday determined by Scores

STYLE:  FS___, FSL___, BB___, BHFS___, BHFSL___, TRAD___

Guest Class for Non-VBA members__________      (No awards)