Becoming a Member

Copy and paste this application into a document then print. Bring completed application along with payment in the form of a check, payable to NCCSC, 343 Hopewell Rd., Elverson, PA 19520. Applications for membership may also be obtained at the Club in the information box at the entrance. Applicants must be a member of the National Rifle Association.

Applicant's Last Name           First Name           Middle Initial

_____________________________________________________________________________      Street Address _____________________________________________________________________________         City State Zip code _____________________________________________________________________________    Occupation               Phone #                                                            _____________________________________________________________________________

e-mail     ________________________________________________________________

NRA Member

yes ____      member # ________________________________

no _____ If not an NRA Member, you are required to become one as stated in the Club by-laws.

Sponsor's Name (NCCSC Member) & Phone #

_________________________________________________________________________

Membership Type: Individual ($40.) _____  Family ($50.) _____ Junior ($10.) _____                     Cash or Check # ______

REQUIREMENTS:

Applicants are required to read and sign the Hold Harmless Agreement below. An initiation fee of $Zero dollars (-0-) must be paid upon acceptance to the club. Applicants are required to attend at least one meeting or work day/night prior to acceptance. Meetings are held on the 1st Monday of each month at 8:00pm, holidays excepted. See calender for work days and nights.

Dues:

Annual Dues: Forty dollars ($40.00) for and individual. Fifty Dollars ($50.00) for a family, (children under 18 years) Junior Membership: Ten Dollars ($10.00) Junior Membership: Members between the ages of 16 years and 18 years of age. Ask for Details. Initiation Fee: Zero Dollars ($-0-), None. The membership year starts August 1st and ends July 31st. the following year.

Release and Hold Harmless Agreement

By applying for membership in the Northern Chester County Sportsmen's Club (the club), I assume and understand that shooting can be a hazardous sport; that human error, range hazards, equipment malfunctions and other hazards exits. In using the club's facilities, such dangers are recognized and accepted, and I assume all risk of personal injury and of loss or damage to property. I agree to hold the club, its members and officers harmless for any personal injury or loss of property sustained on the premises. I assume the burden of conducting myself in a safe and responsible manner at all times.

I understand that my membership privileges may be revoked without refund for misconduct at any time.

Signed ________________________________________ Date _________________

P. O. Box 82, Saint Peters, PA 19470-0082

343 Hopewell Road, Elverson, PA 19520

Phone: 610-458-9775