IPSC Emerging Scholars Application

Name *

First Name

Last Name

Phone *

Country

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Country of Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Terms and Conditions *

I confirm that all information provided is accurate.

I understand that submission of this form does not guarantee admission to the IPSC Emerging Scholars program

I consent to my recommenders being contacted.

I understand that the program and its organisers may amend or vary the program, its content, dates and speakers.

Consent for Communications *

I agree to receive updates and communications from IPSC related to this event and future opportunities.