PARTRIDGE CREEK GUN CLUB APPLICATION FOR MEMBERSHIP

Date

Date of Birth *

Date

First Name *

Middle Name

Last Name *

Address (Street, City, State, ZIP) *

Residence Address (if different from above)

Employed by *

Length Employed *

Job Title

Residence/Cell Phone No. *

Work Phone No.

Email Address *

example@example.com

Check all that apply

Male Female Single Married

Membership Desired *

Associate Active Military Life (if available) (must be Associate for 1 year) Corporate

Have you been a member of a shooting club in the past? *

Yes No

If yes, give name and address of club

List your memberships in shooting organizations NSSA, NSCA, NRA, and etc:

List two personal references of which you have known for five (5) years or more: Include name, address and telephone number:

1. *

2. *

I certify that I am a citizen of the United States and that I am not a member of any group or organization that intends to overthrow or undermine the United States government or subdivision thereof by any means and that I have never been convicted of a felony.

1. I agree to abide by the club's bylaws and understand I may be expelled for violation or misconduct as defined by the Board of directors.

2. Annual dues must be paid by the first of January of each year. Otherwise, membership and any rights and privileges shall cease immediately.

3. Applications will be submitted to a club officer and duly considered at the Board of Directors' earliest gathering. If approval by the Board is granted, access to the club property and full membership rights is still contingent upon receipt by the club membership and Initiation Fee

4. Associate Membership: $800.00 Membership Initiation Fee and $200.00 Annual Membership Dues (Jan-Jun) for a total of $1,000.00 or $100.00 Annual Membership Dues (Jul-Dec) for a total of $900.00. If an applicant is over 75 years of age, the BOD can waive the $800.00 initiation fee.

5. Active Military Membership: $200.00 Annual Membership Dues (Jan-Jun) or $100.00 (Jul-Dec). The $800.00 initiation fee is waived. Payment of the initiation fee of $800.00 will be required once the member is no longer active military or has retired from the military.

6. Corporate Membership: $3,000.00 Membership Initiation Fee and$1,000.00 Annual Membership Dues (Jan-Jun) for a total of $4,000.00 or $500.00 Annual Membership Dues (Jul-Dec) for a total of $3,500.00. Corporate Membership is 1-5 employees.

7. Life Membership: $3,500.00 Life Membership Initiation Fee and do not pay annual dues.

8. I have read and understood the Bylaws section relating to membership as outlined in the Bylaws, Article Two through Eight (see a copy of the bylaws online at www.partridgecreekgunclub.com).

If my application is approved, I agree to abide by all rules, regulations, and the Bylaws of the Partridge Creek Gun Club. I will also sign and am subject to the Acknowledgment of Risks, Legal Rights Waiver, Liability Release, and Hold Harmless Agreement. I understand and give my consent for Partridge Creek Gun Club to perform a background check as a part of the membership application process if necessary.

Club member recommending applicant

Signature *

Clear

Date