Membership
Application
Name:_____________________________
Name of Spouse:____________________________
Address:________________________________________________Phone:________________
City:___________________________
State:__________ Zip Code:_____________________
E-mail
address:____________________________
The following
are some optional questions that will help us to know you
better.
How did
you hear about our club?
___________________________________________________ ___________________________
__________________________ _____________________________________________________
_____________________________________________________________________________
We are
affiliated with the NMLRA, are you a member? (This is not
a requirement.) __________
Number:______________ Expiration:____________
We rely on our membership to keep things running smoothly.
Do you have any skills or talents that would help us in the
areas of yardwork, welding, carpentry, gunsmithing, range
officiating,
computers, or other?
______________________________________________________________________________
How long
have you been involved in black powder shooting? ____________________________
Release
and Indemnity Agreement
I state
that I wish to participate in shooting activities offered
by Strother Freetrappers Black Powder Club. I recognize that
any shooting event may involve dangers. I certify that I am
aware of all the inherent dangers involved in shooting sports.
I personally assume all risks in connection with these activities
and further more agree to indemnify Strother Freetrappers
Black Powder Club and its members and event volunteers from
all liability, claims, and causes of action that I may have
arising from my participation in Strother Freetrappers Club
activities.
Signed__________________________________
Date________________________
Annual
Dues for our club are $30 and should accompany this application.
Make checks payable to Strother Freetrappers. Membership applications
and dues may be given to any board member or may be mailed
to Strother Freetrappers, PO box 923, Lee’s Summit MO
64083.
Contact person: Tracy Smith, 816-250-2434 tsmith@midway.k12.mo.us
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