HRPC Membership Registration Form

Application/Renewal for Membership to Hampton Rifle & Pistol Club

6 Church St., Unit 1, Hampton, NB E5N 5K9 E-MAIL InfoHRPCNB@Gmail.Com
Name *

First Name Last Name
Address:  Street Address* City*            Province*         Postal Code*   E-Mail   Enter Email Address*
Home Phone:  Phone Number* Cell Cell Phone Number
Date of Birth YYYY-MM-DD*
Firearms License #   Number*    Expiry Date: YYYY-MM-DD*
Non-Restricted   Restricted   Prohibited
Occupation:    your occupation *
Handgun Interests *

Bullseye (SFC) IPSC IDPA CDP Black Powder Casual No Interest
Shotgun Interests *

Sporting clays Skeet Trap 5 - Stands IPSC No Interest
Rifle Interests *

Military Rifle Long Range Bench Rest IPSC Hunting Black Powder Small Bore No Interest
Other Interests *

Archery 3-Gun Collecting Plinking All Discipline
Outdoor Range Standing Orders

· Safety is the foremost concern of all individuals using this range.

· If there are two or more persons on the range, one must act as a RANGE OFFICER.

· All members are responsible for informing their guests of the Standing Range Orders, collecting a $5.00 user fee and providing the guests name and address to the executive.

· All members and guests must sign the range attendance book.

· Range in use indicator must be activated and the gate closed while range is in use.

· Muzzle direction must be controlled at all times.

· There is to be no loading of firearms until the shooter is on the firing line.

· All firearms when not on the firing line must be stored in the rack, cased, holstered or handled in a designated safety area.

· No handling of ammunition in the designated safety zone.

· Eye and ear protection must be worn during shooting.

· No climbing on berms, under any conditions.

· No placing of targets on berms.

· No consumption of Alcohol or Cannabis before or during range use.

· No glass or other inappropriate target materials are allowed.

· Garbage is to be removed..

· Good sportsmanship and etiquette is expected at all times.

· Report any unsafe condition or actions to the range officer and the executive.
*

I hereby confirm that all information above is correct and that there is no legal reason for me not to own, or be in possession of, a firearm. I have read, understand and agree to follow the Range Standing Orders above
Signature

Clear
Date

Year Month Day
Date
Club Motto:

''There are no strangers here; only friends you have not yet met."
Once complete, please submit your application (by clicking "Submit Application" below). We will contact you shortly to complete your membership application. Thank you!
Please ensure all field are populated before clicking on the "Submit Application" button... you may not be able to submit your application if pertinent information is missing. Thank you!

Executive Use Only

___ Membership Card	___ Keylock Combination	___ Directions to Range
___ CRO Int. Procedure	___ Explained Sign-in	___ Make Aware of Monthly Breakfast

Amount Collected $___________

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Application/Renewal for Membership to Hampton Rifle & Pistol Club

Outdoor Range Standing Orders