Membership Application *All fields are required unless marked optional. Applicant Personal Information First Name Last Name Street Address City State ZIP Birthday Phone Email Membership Type Working member (16 hrs/year, reduced dues)? Yes No Military / First Responder? Yes No Qualification Questions Legal US Resident? Yes No Legally allowed to own a firearm? Yes No Ever convicted of a violent crime? Yes No Reference Activity Interests Trap Skeet 5-Stand Rifle Pistol Action Pistol Archery Classes Comments I certify the above information is true and agree to club rules. Submit Application
