U.S. Securities and Exchange Commission / NRA / Junior / Open Civilian Police Women Junior** Intermediate Junior** Sub-Junior** Senior** Grand Senior** Service / /
Person
Referee / /
Position
Statistical Director / Stat Officer / Name Statistical Director / Director Signature / team member / Jury Member/Chairman / NATIONAL RECORD REPORTING FORM Statistical Officer / /
NRA NATIONAL RECORD REPORTING FORM Statistical Officer, NRA Referee or Jury Members must complete this form and forward to NRA immediately following each Registered Tournament. Name of Tournament Location