Membership Application

First Name:

Last Name:

Street Address:

City:

State:

ZIP:

Birthday:

Phone:

Your Email:

Are you interested in being a working member which requires working 2 events on an annual basis? This reduces your annual membership fee from $125 to $75.

Working Member: Yes No

Are you Active or Retired Military or First Responder?

Military / First Responder: Yes No

Are you a citizen of the United States or Legal Resident of the United States?

Legal US Resident: Yes No

Are you legally allowed to own a firearm?

Legal Firarm Owner: Yes No

Were you referred by a current member? If yes, provide their member number.

Referring Member's Number:

What activities are you most interested in that the club offers?
Check all that apply

Trap
Skeet
5-Stand
Rifle
Pistol
Action Pistol (IDPA/USPSA/Steel Challenge)
Archery
Classes & Education (Hunter's Safety, CCW, etc.)
Other:

Comment:

Certification & Agreement

I hereby certify that the above statements are true and accurate to the best of my knowledge. I understand that a false statement may terminate my eligibility for being a member of Saukville Gun Club. I also agree to abide by all club rules and abide by all Federal, State & Local laws as it pertains to firearm use at Saukville Gun Club.