Please fill in all fields marked with a (*). These fields are required to process your volunteer applicaiton. Any additional information you can provide (especially your email address) will aid us in processing your information as efficiently as possible and help us stay in touch.

Volunteer Information * First Name: * Last Name: Member ID: (if applicable) * Address:     * City: * State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI AB BC MB NB NF NS NT ON PE QC SK YT * Zip: * Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12  /  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  /  2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 Email Address: (optional but helpful)

Phone Numbers Day: * Evening:

Emergency Information * Emergency Contact: * Phone: Physician: Phone:

Medical Information Do you have any physical limitations or health condition(s) that require you to limit your activities or work conditions? Please be specific and describe how to avoid any complications.   * Do you have medical insurance?   Yes No If you answered yes, who is your provider? Please note: It is current NRA policy that all volunteers must have their own medical insurance.   I have allergic reactions to the following... Seasonal Penicillin Insect Stings Nuts Aspirin Please include details or any allergies not listed above.   Please list any medications you are currently taking (and dosages if applicable).

Certifications NRA Certified Instructor NRA Certified Coach NRA Training Counselor NRA Referee NRA Chief Range Safety Officer NRA Classified Shooter NRA Range Safety Officer Current EMT/First Responder CPR Please list any additional certifications and any special skills you have (photography, public relations, sales, etc).

Volunteer Experience * Have you volunteered at Camp Perry before? Yes No If you answered yes, how many years have you volunteered? If you answered yes; what and where was your last assignment? * Please select your shirt size: S M L XL XXL XXXL

Competition Status * Will you be competing in the 2009 National Matches? Yes No If yes, what days do you plan to compete? Jul 13 Jul 14 Jul 15 Jul 16 Jul 17 Jul 18 Jul 19 Jul 20 Jul 21 Jul 22 Jul 23 Jul 24 Jul 25 Jul 26 Jul 27 Jul 28 Jul 29 Jul 30 Jul 31 Aug 1 Aug 2 Aug 3 Aug 4 Aug 5 Aug 6 Aug 7 Aug 8 Aug 9 Aug 10 Aug 11 Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Aug 17 Aug 18 Aug 19 Click here for a copy of the tentative 2009 National Matches schedule.

* Housing  (Note: NRA does not reimburse for housing under any circumstances.) I can provide my own housing   I will need NRA provided housing (Non-smoking) I will need NRA provided housing (Smoking) I request housing with the following individuals: 1: who is a Volunteer Other 2: who is a Volunteer Other 3: who is a Volunteer Other   I have a self contained RV and would like an RV camping spot if available. The following persons will be staying with me in my RV: 1: who is a Volunteer Other 2: who is a Volunteer Other 3: who is a Volunteer Other

* Assignment Request I would like to help for the duration of the following championships: National Pistol Matches: Jul 13-19 (Arrive: Jul 12 - Depart: Jul 20) National Smallbore Rifle Matches: Jul 22-30 (Arrive: Jul 21 - Depart: Jul 31) National CMP Trophy Matches: Aug 1-8 (Arrive: Jul 31 - Depart: Aug 9) National NRA Highpower Championships: Aug 9-14 (Arrive: Aug 8 - Depart: Aug 15) Long Range Championships: Aug 15-19 (Arrive: Aug 14 - Depart: Aug 20)   OR   I will volunteer for a portion of the National Pistol Matches National Smallbore Rifle Matches National CMP Trophy Matches National NRA Highpower Championships Long Range Championships and would like to help out from Jul Aug  /  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 to Jul Aug  /  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31