EMRR Club Membership Application Form

Full Membership Application:

For Joint Membership or Family Membership each person must complete this form
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Previous Address (If less than 2 years)

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number
Mobile Number
E-mail*
example@example.com
What is your current Employment
Do you have a disability or do you need assistance?
Target Shooting is fully inclusive and we have access to accommodate wheelchairs.
What type of Shooting are you interested in?
Do you have any previous experience or currently own any Firearms?
Do You have a FAC? (if yes Number/Force area)
Do You have a SGC? (if yes Number/Force area)
Are you a member of any other shooting organization?
For Example BASC, CPSA, NRA, NSRA....
Have you ever been a member of another shooting club?
If yes please give Club Name and contact details
I have never had my membership of another shooting club terminated or been asked to leave

Tick to confirm statement
I have not been convicted of any offense (excluding motoring) during the last ten years?

Tick to confirm statement
I have not been refused or had revoked a FAC or SGC

Tick to confirm statement
I am not prohibited under Section 21 of the Firearms Act 1968, or otherwise, from holding or possessing any firearm or ammunition*

Tick to confirm statement
I understand that the police will be contacted for a background check*

Tick to confirm
I Agree to EMRR GDPR policy (available on request)*

Tick to confirm
REFERENCE

It a mandatory legal requirement for Home Office Approved Shooting Clubs to obtain a reference for all new members.

Please provide details of someone who can give a reference, - this should be someone who has known you for more than 2 years and you are not related to or living with.

To assist in the administration of your application, YOU MUST FORWARD THE LINK TO YOUR REFFRENCE and ask them to complete the form,

https://form.jotform.com/212773860826059

Please give contact details of someone who can provide a reference

	Full Name	Full Address	Post Code	Email	Phone Number
1

Please provide a passport style photo

Cancelof
Signature*

Clear
Please verify that you are human*
Should be Empty:

Full Membership Application: