CEDAR HILLS GUN CLUB MEMBERSHIP APPLICATION

Name of Applicant: _________________________________________ D.O.B.: __________________

Address: ____________________________ City: __________________ State: __________ ZIP: ______

Email Address: ________________________________Marital Status: _____________________________

Occupation: __________________________________ Employer: _______________________________

Home Phone: ________________________________ Business Phone: ___________________________

Spouse’s Name: ________________ Occupation: ___________________ Employer: ________________
Children’s Names: 1)_____________________________________   Age: _________
(only if 18 or younger) 2) _____________________________________   Age: _________
  3) _____________________________________   Age: _________
  4) _____________________________________   Age: _________

 

Are you a United States citizen? Yes ___ No ___
     
Are you a member of the NRA? Yes ___ No ___
     
If not, do you plan to become a member of the NRA? Yes ___ No ___
     
Have you or your spouse ever been convicted of a felony? Yes ___ No ___
     
Have you ever been in the service? Yes ___ No ___
     

NA ____ Which branch? Army ____ Navy ____ Air Force ____ Marines ____ Other ____

NA ____ Did you receive an honorable discharge? Yes ___ No ___
Are you taking any drugs or medication? Yes ___ No ___

If yes, explain: _________________________________________________________________

Have you ever been denied membership in a gun club or shooting organization before? Yes ___ No ___

If yes, explain: _________________________________________________________________

Have you ever participated in any organized shooting events? Yes ___ No ___
Have you read the constitution and bylaws of the CHGC? Yes ___ No ___
Are you in violation of the CHGC constitution or bylaws in any way? Yes ___ No ___

 

If yes, explain: _________________________________________________________________

Are you willing to donate your time towards upkeep and maintenance of the gun range? Yes ___ No ___

Which of the following are you interested in?

Shotgun ____ Handgun ____ Rifle ____ Archery ____ Black Powder ____

I believe in the aims and purpose of the CHGC and desire to invest my time and efforts toward those goals. I certify I am a citizen in good refute of the United States of America, never having been convicted of a crime of violence and that if admitted to membership, I will fulfill the obligations of good sportsmanship and membership. I, the undersigned, hereby request my relatives, my employers or any other person or agency having knowledge of me or my circumstances to divulge such information to the authorized representative of the CHGS in order that my application for membership may be considered insofar as information is pertinent to my application for membership in the CHGC.
    _______________________________ _________________
    Signature of Applicant Date

 

I, a member in good standing of the CHGC endorse the above applicant as a good citizen and sportsman. I feel he is sincere and would be a worthy asset to the club.
    _______________________________ _________________
    Signature of Member Date

 

MEMBERSHIP FEES AND DUES

If accepted for membership in "THE CEDAR HILLS GUN CLUB", I understand that the following amounts are due and payable at the time of acceptance, and annual dues thereafter in accordance with the bylaws of the Club.
  Initiation Fee : _$65.00_______
     
  Annual dues : _$50.00_______
     
  Total First-Year Membership : _$115.00______
     

Upon receiving access to the CEDAR HILLS GUN CLUB RANGE GATE LOCK, I hereby pledge:
  1. That I will not give access to the range gate to any non-member, or any current non-member.
   
  2. If I take non-members to the range, I will point out the benefits of joining the association. If they do not desire to join the association after one visit, I will collect a $5.00 range fee from them and turn it into the club treasurer.
   
  3. I will clean up any garbage or debris that I have caused at the range and will see that other members and guests do the same.
   
  4. I will report any incident of trespassing, misuse, abuse, or other inappropriate acts committed on range facilities to the club officers, and /or law enforcement authorities as is appropriate for the situation.
   
  5. Upon request from any club member that displays his membership card to me, I will respond by displaying my membership card for his inspection.
   
  6. I will practice the safe handling of firearms, good sportsmanship, and follow all range regulations at all times.
   
  7. In return for the privilege of having access to the gun range, I will contribute my fair share of work toward construction, and upkeep of the range facilities whenever possible.
     
  Signed: ____________________________
     
  Date: _____________________________
     

Revised 3/18/2008