GRAND
RAPIDS RIFLE & PISTOL CLUB, INC.
MEMBERSHIP APPLICATION
PLEASE
PRINT
Name: __________________________________________________ Date of Birth:
__________________
Individual, or Voting* Family
Member
Address: ____________________________ City: _____________________
State: ____ Zip: ___________
Home Phone: (______)__________________ Email:
___________________________________________
Occupation: ________________________________
*One adult member of a family is authorized to vote on applicable club
business.
NRA
MEMBERSHIP REQUIRED FOR MEMBERSHIP A NRA LIBERTY MEMBERSHIP IS ACCEPTED
PLEASE SEE A CLUB MEMBER FOR NRA MEMBERSHIP APPLICATION
Are you a member of the
NRA?
Yes
No NRA Membership Number:
__________________
Name: ___________________________________________ Date of Birth:
_______________________
Spouse
Name: ___________________________________________ Date of Birth:
_______________________
Minor Child (Under age 18)
Name: ___________________________________________ Date of Birth:
_______________________
Minor Child (Under age 18)
Name: ___________________________________________ Date of Birth:
_______________________
Minor Child (Under age 18)
RELEASE
AND WAIVER OF LIABILITY
In
consideration of being granted membership, and allowed to use the
facilities of Grand Rapids Rifle & Pistol Club, Inc. (GRRP), I
hereby release and waive any claim I, my heirs, successors, or assigns
may now have or which may hereafter accrue to myself.
In signing this release, I expressly warrant that I have read and
understood the terms contained herein and have signed voluntarily.
In the case of a minor (under 18 years of age), this waiver must be
signed by a parent or legal guardian on behalf of the minor.
By signing this application and accepting membership in Grand Rapids
Rifle & Pistol Club, Inc., I agree to be bound by GRRP’S
Constitution, By-Laws, Policies, and Procedures as they exist and as
they may be updated from time-to-time.
Signature: ___________________________________________ Date:
_________________
Individual, or Voting Family Member
Signature: ___________________________________________ Date:
_________________
Spouse
Sponsoring Club Official: __________________________________________
Club membership is on a calendar year basis (January 1 thru December 31)
Membership:
New
Type:
Individual
Junior
Life
Renewal
Family *
Collegiate
Membership Fee Paid: _______________
Membership Card Issued by:________________________________
Date:__________________
NOTE:
RENEWING MEMBERS MUST COMPLETE THIS FORM EACH YEAR
