PRF Family Clay Membership Application

Family Clay Membership Application - Annual

Complete the form below to become a Family Clay Member of Pine Ridge Farm.
Name of Member 1*

First NameLast Name
Birth Date:

MonthDayYear
Name of Member 2*

First NameLast Name
Birth Date:

MonthDayYear
Name of Member 3

First NameLast Name
Birth Date:

MonthDayYear
Name of Member 4

First NameLast Name
Birth Date:

MonthDayYear
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
MEMBERSHIP RULES

1. Family membership is available to couples 18 years of age or older, living in the same household and their children (under 18) or any Parent (over 18)/Child (under 18) living in the same household.

2. You promise NOT to use to conduct any fraudulent or business activity or have more than one Member Account at any time.

3. Rentals upon availability.

4. Any guests you bring can shoot on your target card if you are present.

5. All members and guests must complete the waiver/release before shooting and follow all range rules.
I have read, understood, and accepted the rules for membership.
Once you submit your application and waiver/release and payment is made in full, we will contact you shortly.

Thank you and we look forward to seeing you on the course!
My Products*
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Family Membership$750.00

Subtotal $0.00Tax $0.00Total $0.00
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Family Clay Membership Application - Annual