Cedar Hills Gun Club » Membership Application

Applicant Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Month

Date

Year

Email*

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Marital Status*

Occupation, or if retired, previous occupation*

Employer*

Home Phone*

Mobile Phone*

Business Phone

Spouse's Information

Spouse's Name*

First Last

Occupation

Employer

Children's Information

Only if 18 years of age or younger. Press the "+" icon to add additional lines.

Children's Names

Name	Age

Additional Information

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

Are you and your spouse legally entitled to possess and use firearms?*

Yes
No

Have you ever been in the service?*

Yes
No

Which branch?*

Did you receive and honorable disharge?*

Yes
No

Have you ever participated in any organized shooting events?*

Yes
No

Have you ever been denied membership in a gun club or shooting organization before?*

Yes
No

If yes, please explain.*

Are you in violation of the CHGC constitution or bylaws in any way?*

Yes
No

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If yes, please 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
Black Powder

Terms & Conditions

Have you read and agree with the constitution and bylaws of the CHGC?*

Review The Bylaws - Open In New Window

Yes
No

I have read and agree with the Standard Operating Procedures and Range Rules*

Review The Standard Operating Procedures and Range Rules - Open In New Window

Yes, I agree

Membership Pledge*

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 repute of the United States of America (see Article II Section 7 of CHGC By Laws), 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 CHGC in order that my application for membership ma be considered insofar as information is pertinent to my application for membership in CHGC.

I agree

Access Pledge*

Upon receiving access to the CEDAR HILLS GUN CLUB RANGE GATE CARD, I hereby Pledge and acknowledge:

1. By accepting the gate card, I acknowledge that I am responsible for this key card and will not let others use it. If the assigned gate card is used by another person, the gate card will be deactivated, and membership lost.
2. It is my responsibility as the card holder to immediately notify one of the Cedar Hills Gun Club’s Board of Directors if the card is lost or stolen.
3. There will be a $20 card replacement fee for lost, stolen or damaged cards.
4. If I take non-member to the range, I will point out the benefits of joining the association and collect $5.00 non-member range fee and deposited in a non-member fee box located on the range.
5. I will clean up any trash or debris that I have caused at the range and will see that other members and guest do the same.
6. I will report any incident of trespassing, misuse, or other inappropriate acts committed on the range facilities to the club officers, and/or law enforcement authorities as is appropriate for the situation.
7. I will wear and display my gate card when at range to identify as an active member.
8. Upon request from any club member who display his membership card too me, I will respond by displaying my membership card for his inspection.
9. I will practice safe handling of firearms, good sportsmanship and always follow all range regulations.
10. Members whose dues not paid for by December 31st will have their card deactivated. If memberships are not renewed by the March monthly meeting, and additional setup fee will be required to activate the gate card.
11. Any guest I bring to the CHGC will remain on the same range as me.

I agree

Mechanical Gate Card Agreement*

By accepting the gate card, I acknowledge that I am responsible for this key card and will not allow others to use it. If the assigned gate card is used by another person, the gate card will be deactivated and membership lost.

It will be the responsibility of the card holder to immediately notify one of the Cedar Hills Gun Club's Board of Directors if the card is lost or stolen.

There will be a $20 card replacement fee for lost, stolen, or damaged cards.

According to the by-laws, annual membership dues are valid from January 1 to December 31.

All dues not paid for by December 31st will have the card deactivated.

If memberships are not renewed by the March monthly meeting, an additional setup fee will be required to activate the gate card.

It is also acknowledged that while at Cedar Hills Gun Club, the card will be visible on the member at all times.

I agree

Membership Fees & 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 (January 1 - December 31) thereafter in accordance with the bylaws of the Club.

Fees*

Setup Fee $25 + Annual Membership $85: $110
Setup Fee $25 + Annual Membership $85 + Buddy Pass $25: $135

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Application cannot be submitted until all Terms & Conditions are agreed to: Standard Operating Procedures and Range Rule, Membership Pledge, Access Pledge, and Mechanical Gate Card Agreement.

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Membership Application