EMRR CLUB- Membership Reference Form

Thank you for taking the time to complete this reference form, it is a mandatory legal requirement for Home Office Approved Shooting Clubs to obtain a reference for all new members.

Please can you complete the details below and click Submit to send it to the Club.

All information provided will be Kept confidential within the club GDPR police.

If you are unable to or would like to confidentially discuss this application please contact the club via the enquirees page.

Many thanks

Membership Secretary - EastMidlands Regional Range

Completing the Reference for:

First NameLast Name

Your Name

First NameLast Name

How do you know the applicant?

Personal History of the applicant: Do you have any knowledge of any medical or emotional problems, alcohol, drugs or medication related abuse, or mental or physical disability suffered by the applicant? Please give brief details.

Domestic circumstance of the applicant: Do you have any knowledge of any significant difficulties the applicant has in relationships with their immediate family, anyone living with the applicant, friends or co-workers which may give concern?

What do you know of the applicants experience with firearms?

What do you know of the applicant’s attitude towards firearms?

Any other information you think the club may need to know?

I know no reason why the applicant should not be accepted as a member of your club. Signature