Fire Police Outing Club 2013

Associate Membership Application (outside member)

To apply for F&POC membership, please print the Application Form and complete them(including signature) and mail them to the mailing address on website

Will be contacted to receive a key after approval by the F&POC board.

This form constitutes a legally binding agreement. Send payment in with registration. The yearly membership dues are sent out in January, those who join throughout the year, will have their membership adjusted accordingly in January of the next year.

Membership maybe cancelled after 30 days of non-payment of dues.

The F&POC board has the right to reject, remove, or discontinue membership at any time.

Your Name: / Spouse name/
Please list your Children’s Names and their ages who live at home: / ______
Driver’s License #: / Birth Date:
Employed at:
Position:
Work Phone: / /Cell Phone
Home Address:
______
(Required)
E-mail address: / ______
Home Phone:
Reason I would like to be considered for membership and use of property:
Please read and understand this statement carefully: / If accepted, I will abide by all the rules of the F&POC and keep dues paid current. I understand that I am responsible for my guests, my family members, and myself while visiting the F&POC property and that I may be held liable for any damages caused by my family, my guests, or myself.
Guest must be accompanied by the member!
Keys are not to be given or loaned to non-members!
I have read the General Information and agree to the terms and conditions.
Signature:
Date:
Chattanooga Fire or Police
Sponsoring members name : / * /Cell#
Board Action: / Approve O Deny O Vote Talley: ______to ______
Fire Police Outing Club
760 Pan Gap Road /

INVOICE

invoice # ______
Date:______

Bill To:

/

Mail To:

Fire Station #20
Attn: F&POC Tim Zink
3003 Cummings HWY.
Chattanooga, TN 37419
DESCRIPTION / AMOUNT
2013 Associate Membership Dues. / $67.00
Initiation Fee / $25.00
Gate Key / $10.00
TOTAL / $102.00
Make all checks payable to F&POC
Payment is due with registration.
If you have any questions concerning this invoice contact: Tim Zink (423) 240-1310

F&POC

Key Policy 26th June 2013

The gate key is being changed at the Fire & Police Outing Club, the key is a secure lock and key. At receiving and signing for of the new key I agree to the following rules:

  1. I will not give my key to anyone other than my spouse and children under21 still living at home.
  2. I will lock the gate after entering and exiting.
  3. If I lose my key I will contact a board member and advise them of such.
  4. Replacement key will cost $10 and will not violate rule #1.
  5. The old key may be used to lock up items at Pan Gap and should be locked back up before leaving the property.

Other items that are addressed in this policy are general info. They are as follows:

  1. Limit your guest to a total of 6 per family without approval.
  2. Larger parties should be approved especially if the pavilion is wanted for the gathering. Reserve it to insure you have it. You are responsible for your guest.
  3. Shooting is only allowed at designated area at the back of the property. Go thru gate turn right and bear right until road ends at table.
  4. Pick up all garbage and dispose, this includes but not limited to brass, targets, cans, bottles, clothing, utensils, plates and anything else you bring in to the property. No Dumping on property of anything!
  5. I will shoot only targets. Not the target holders, tables, benches, trees, glass of any kind.
  6. Do not fish around swimming area. The bottom is concrete and hooks have been found in this area and could cause injury if stepped on.
  7. Place boats out of water when you finish with them, if someone else wants to use them insure they will put them out of the water. If they can’t get them out please don’t put them in. They take on water and are difficult to get out.
  8. Keep ATV’s on roads at a minimal speed. Keep ATV’s out of lake, creek and off the grass around lake and pavilion.
  9. This is a family environment please keep language and conduct accordingly.
  10. In general take care of the property as you would want someone to care for yours.

Thanks for you attention.

J. Case

F&POC President

902-9558

Please Sign:______Date:______