MIDDLE TENNESSEE SHOOTERS
P.O. Box 928
Manchester, TN 37349

Safety Officer Application

Please submit with Match Application and Fee

If you are selected you will receive a match fee refund, travel money, and a gift

NAME____________________________________________________________________________

IDPA#_____________________

ADDRESS_________________________________________________________________________________________________________

CITY_________________________________________________________________________STATE__________ZIP_________________

PHONE_______________________________EMAIL_____________________________________________________________________

Certified SO ? YES NO

List SO Expreience:_________________________________________________________________________________________________

________________________________________________________________________________________________________________

References:

Name____________________________________phone or email___________________________________________________