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Grays Harbor Rifle & Pistol Club Membership Application
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First Name:
'Last Name:
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MI:
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Mailing Address:
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City:
State:
Zip +4
Email Address:
Birthdate:
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Phone:
Employer:
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Occupation:
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Date:
PLEASE READ AND SIGN OTHER SIDE
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Sponsor:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Print Name) attest to the good character of the above applicant. I have
or will show the applicant around the facilities and review the information & rules on the reverse side of this application.
I have been a member for at least one year. , understand that failure to fulfill these duties may result in the loss of my
membership.
Signature:,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date:----1----1_ _
e Use Only
Amount of Dues
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Accept:
Reject:
Membership Type: (circle one)
R 5 A
Officiationg Officer:
with Application I
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Check for signatures Front and Back.
Position:
Regular membership is $100.00 per year. Senior membership (the year you turn 62) is $50.00 per year. Prorated schedule for new members only.
April-May-June $100.00 regular and $50.00 senior. Ju!y-Aug-Sept $75.00 regular and $38.00 senior. Oct-Nov-Dec $50.00
regular and $25.00 senior. Jan-Feb-March will include succeeding year's dues. $25.00 + $100.00 ::: $125.00 regular and
$13.00 + $50.00 ::: $63.00 senior. Associate (Spouse) membership::: half spouses. Make checks payable to GH Rifle &
Pistol Club, if paying in cash have correct change please.
GH RIFLE & PISTOL CLUB, P.O. BOX 645, ABERDEEN WA.98520
GENERAL INFORMATION:
...
Membership applications are approved at our regular monthly meetings held the third Tuesday of each month starting at
6:30 P.M.
... The club has active Rifle, Pistol, Muzzleloader groups and Postal Match programs. The pistol team competes with clubs
active
across the nation through the United States Revolver Association. "You must be a member". This pistol group
around December and starts a lO-week course of fire in January. The muzzleloaders are active year round.
.. Occasionally organized shoots are held that are not always advertised by newsletter. Meetings, local newspaper, and our
bulletin board are the best sources of information.
.. Range closures occurfor work parties, Hunter Education, range maintenance and other occasions. Closures must be posted
at least 2 weeks in advance with the exception of mowing of the grass, which happens every 3 to 4 weeks. The posting
includes the physical posting at the range.
RANGE SAFETY RULES:
.. Upon arriving at the range, be aware that active shooting may commence at any time. Make everyone aware of your
presence. Never cross the firing line lmtil you have confirmed with everyone present that the range is now Open. You may
now proceed to place or retrieve you targets.
• Maintain muzzle control at all times, NEVER allow your muzzle to point at Anyone. Fingers will remain off the trigger until
you are ready to shoot.
• Firearms are to be kept unloaded, with magazines removed and breeches open except when on the firing line, unless
firearm is holstered or cased.
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Shooting under the influence of alcohol or drugs is prohibited and neither is allowed on the premises. Violation of this
policy will be considered criminal reckless endangerment resulting in loss of membership and legal action shall ensue.
.. Indiscriminate shooting will not be tolerated. Shooting must be restricted to target boards only. Shooting above or below
target boards is forbidden. EVERY ATTEMPT MUST BE MADE TO ENSURE A BULLET DO£S NOT LEAVE THE SHOOTING
RANGE. Anv member or guest of a member violating the indiscriminate shooting rule will result in the member loosing
there membership for life. as well as reckless endangerment charges being file in civil court. "Members are responsible
for their guests".
• Shooting building structure(s}, target posts, glass or any other type of garbage is strictly forbidden. This would be classified
as "Indiscriminate Shooting" and "vandalism". Anyone of these offenses will result in loss of membership for life.
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You May Not at any time loan your range assess key(s} to ANYONE. "This includes Relatives".
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Ear and Eye protection is required on all ranges.
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The use of magnum handgun loads, full metal-jacketed bullets, 22 magnum ammo, shotguns or center-fire rifles is
prohibited on the indoor range. Magnum handgun loads, full metal-jacketed handgun ammo and 22 magnum ammo may
be used when shooting from the indoor stations that open to the outside pistol targets.
• Your membership allows your spouse and unmarried children who reside with you to use the range when accompanied by
you. Occasional use by others accompanied by you is allowed. Frequent users are expected to purchase their own
membership .
., If you are not allowed to own or posse a firearm you cannot be a member or be allowed on the premises.
I understand, and agree to notify an officer of the Grays Harbor Rifle & Pistol Club, if at any time, regardless of the reason, my right
to possess a firearm is revoked. Thus, the member shall return his/her key(s) to an officer, and their membership shall be terminated
until the member's rights have been reinstated.
._ _ _ _ _ _ _ _ _ _ _ Date:-----1__/ _ _
Print Name: _____________I certify that I am a citizen of good repute of the United States of America; that I am not a member of any organization or group
having as its purpose the overthrow by force or violence of the government of the United States or any of its political subdivisions;
that I have never been convicted of any crime of violence; and that if admitted to membership I will fulfill the obligations of good
sportsmanship and good citizenship.
._ _ _ _ _ _ _ _ _ _ _ Date:-----1__/ _ _
Print Name: ______________I attest that I have read and fully understand the contents of this document. I agree to comply with the above
Rules, Terms
and Conditions contained within this agreement. I also agree and understand that there are genuine risks to self and others when
firearms are discharged.
Print Name: _ _ _ _ _ _ _ _ _ _ _ _ Signed: ______________ -~
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