The Garrison Fish & Game Club, Inc.

Application for Membership

 

(Please Print)

 

Name_________________________________________________________________________

 

Telephone ___(____)____________________________________________________________

 

Address_______________________________________________________________________

 

Email Address__________________________________________________________________

 

Date of Birth _______/________/________

 

Employer_________________________________Position______________________________

 

Address_______________________________________________________________________

 

Your residence is located in the Town of _____________________________________________

 

Your Residence is located in the School District of _____________________________________

 

Do you reside permanently at the above address? _____________________________________

 

If not, please give permanent address_______________________________________________

 

______________________________________________________________________________

 

Number of years you have resided at your permanent address:___________________________

 

Have you voted in any regular elections in the last three years out side of the above permanent address? ______________________________________________________________________

 

Are you a member of any other sportsman organizations? ______________________________

 

If "Yes" Please list _______________________________________________________________

 

Are you a member of the NRA? Yes / No

 

(OVER)

 

Have you ever been arrested or convicted on charges of violating any Conservation law

 

(even if these claims were settled by civil compromise)?________________________________

 

If "yes" please attach an explanation to this application

 

All members are requested to participate in the Club Activities, including serving two years on one standing committee. Please circle your first choice and underline your second choice below:

 

1.Posting 2. Kitchen (Refreshments) 3. Special Activities 4. Junior Activities

 

5. Buildings & Grounds Maintenance 6. Pond Improvements & Activities

 

7. Archery/other Ranges 8. Entertainment 9.Venison Donation Program

 

Indicate briefly the activities of the club in which you are most interested:

 

______________________________________________________________________________

 

I certify that the above statements are true and wish to be considered an applicant for the Garrison Fish and Game Club, Inc.

 

Signature of applicant _____________________________________Date___________________

 

******************************************************************************

 

Sponsors

 

Proposed by: ____________________________________________Date___________________

 

 

(Please Print)

 

 

Signature: _______________________________________________

 

Seconded by: ____________________________________________Date___________________

 

 

(Please Print)

 

 

Signature: _______________________________________________

 

Note! Please read the attached "Membership Application Information Sheet" which will explain the processing of your application and the required fee schedule that must be met if membership is accepted.

 

 

Club Use only: Resident Non-Resident Rec’d by Sec: ___/___/___ Board ___/___/____ Y N Gen. Mem: ___/___/___ Y N Letter Sent ___/___/___