Montgomery County Fish and Game Club, Inc.

Shoot straight and always make sure of your target. Remember: once you pull the trigger, you can't take it back.
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 MEMBERSHIP APPLICATION 2012

 

Please print , complete and mail with your $30 or $75 annual dues to:

Montgomery County Fish and Game Club, Inc.

PO Box 1644

Mount Sterling KY 40353

 

  

TO BECOME A MEMBER, complete this application and mail it with your dues to the address provided. The fee includes

Club membership for one person, his/her spouse, and children up to age 18, for the calendar year of January 1 to

 December 31.There are no partial year memberships available, so any memberships started during the year will

expire on the next December 31.The dues are the same for an individual membership. Members are also required to

 read and follow the Range Rules. If you have any questions, don't hesitate to contact us. Once we receive your

 application and dues, we will mail your membership card and the gate combination. 

 

AS OF 2012, you can choose your membership:

 

___ $30      One year working membership for you, your spouse, and children up to age 18. You will assist at one

 Friday night trap shoot and one Saturday workday.If you sign up later in the year and there are no Saturday

 Workdays remaining you can work two Friday nights.

 

___ $75   One year membership for you, your spouse, and children up to age 18. The extra dues

will allow us to hire help when needed.

 

___ $??   Any donation you want to give above your membership will be appreciated.

 

 

RENEWING MEMBERS must also complete this application to ensure we have accurate information on file.

 

Please take care with the combination lock and gate:  

  • After dialing the combination, push the lock in, then pull to open.
  • Be sure to rotate the lock to other numbers before closing or it will not lock.
  • Always close and lock the gate when you enter and exit the property.  
 

 

PLEASE PRINT:

 

DATE  __________________________ 

 

NAME  ___________________________________________________________________________________________________

 

STREET  _________________________________________________________________________________________________

 

CITY  ____________________________________________________________  STATE  _____________  ZIP  _______________

 

DATE OF BIRTH  ________________________________________

 

HOME PHONE  (________)________________________________

 

CELL PHONE   (________)________________________________

 

E-MAIL ADDRESS  _________________________________________________________________________________________

It is important that we be able to communicate by e-mail with as many members as possible,

rather than relying on multiple phone calls. Thanks for your help with this!

  

EMERGENCY CONTACT: 

 

NAME  __________________________________________________________________________________________________

 

RELATIONSHIP  __________________________________________________________________________________________

 

HOME PHONE  (________)________________________________

 

CELL PHONE   (________)________________________________

 

 

 

 

  

WORKDAYS:

 

Please list your top THREE choices to assist at our Friday Night Trap Shoots .

1st choice Friday:  __________________  2nd choice Friday: __________________  3rd choice Friday:  __________________

Please circle your choice of Saturday workday.

March 10, 2012          June 9, 2012          September 8, 2012

We will contact you to confirm your one Friday night and one Saturday workday. Thanks for your help!

 

 

Please circle your current interests:     

TRAP        RIFLES        HANDGUNS       BOW

Please circle what you're interested in learning:     

GUN SAFETY       HUNTING SAFETY       CCDW (concealed carry)       TRAP       HANDGUNS       RIFLES       BOW

YOUR SPOUSE:   

 

Will he/she be joining you at the range?     __________

 

Please circle his/her current interests:      TRAP        RIFLES        HANDGUNS       BOW

 

Please circle what he/she is interested in learning: 

GUN SAFETY       HUNTING SAFETY       CCDW (concealed carry)       TRAP       HANDGUNS       RIFLES       BOW

 

 YOUR CHILDREN:

 

Will they be joining you at the range?     __________  How many?     _______     What are their ages?    _________________

 

 

Please circle their current interests:     

TRAP        RIFLES        HANDGUNS       BOW 

Please circle what they are interested in learning:      

GUN SAFETY       HUNTING SAFETY       TRAP       HANDGUNS       RIFLES       BOW

 

COMMENTS? _________________________________________________________________________________________

 

_____________________________________________________________________________________________________

 

 

　Thanks, and we’re so glad to have you as a Member!

 

revised 11/03/11