Avenal Gun Club Send Application & Check
Avenal Gun Club
P.O. Box 651
Avenal Ca. 93204
Membership Application
Name______
Name of Applicant Name of Spouse
Address______
Street P.O. Box City
______
State Zip
Home Phone#______Cell Phone#______
E-Mail Address ______
______
California Rifle and Pistol Association Member: Yes _____ No _____
Membership Number: ______
National Rifle Association Member: Yes _____ No_____
Membership Number: ______
?’s Call Scott Wheelock at 559-362-8010 E-Mail:
Type of membership for which you are applying: Annual ______Life ______
Lifetime Membership: A one-time fee of $575.00
Annual Membership
Initiation fee for first time member______$50.00
Annual Membership ______40.00
Key Deposit ______25.00 = $115.00
Signature: ______Date: ______
You MUST fill out the application and SIGN the waiver on the reverse side.
Annual dues of $40 are due May 1st of every year.
AVENAL GUN CLUB
P.O. BOX 651
AVENAL, CA 92304
RELEASE FROM RESPONSIBILITY, WAIVER OF LIABILITY AND ASSUMPTION OF RISK FOR PARTICIPATION IN A DANGEROUS ACTIVITY
1. Hereby voluntarily releases, discharges, waives and relinquishes any and all action or causes of actions for personal injury, property damage or wrongful death occurring to the undersigned arising as a result of engaging in or being present at activities at the Avenal Gun Club Premises.
2. Agrees not to sue and voluntarily releases, discharges, waives and relinquishes any action or causes of action, which may hereafter arise for himself/herself and for his/her estate, and agrees that under no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute or present any claim for personal injury, property damage or wrongful death against Avenal Gun Club or any of its officers, agents servants or employees for any said causes of action whether the same shall arise by the negligence of any said persons or otherwise. It is the intention of the UNDERSIGNED by this instrument to exempt and relieve Avenal Gun Club, or any of its officers, agents, servants, or employees, including volunteers, from liability for personal injury, property damage or wrongful death caused by negligence.
3. Agrees that in the event any claim for personal injury, property damage or wrongful death shall be prosecuted against Avenal Gun Club the UNDERSIGNED shall indemnify and save harmless the same Avenal Gun Club and any of its officers, agents servants or employees, whomever or wherever made or presented for personal injuries, property damage or wrongful death.
4. Agrees that the forgoing release is intended to be as abroad and inclusive as permitted by the laws applicable in the State of California and that if any portion therefore is held invalid, it is agreed that the balance shall continue in full legal force and effect.
5. Acknowledged that the UNDERSIGNED has been fully and completely advised of the potential for serious accidents incidental to engaging in firearms activities, including the potential for death, personal injury and property damage, and expressly agrees to assume all risks of loss, damage or injury that may be sustained by the UNDERSIGNED.
6. Agrees that failure to return key upon termination of membership, whether voluntary or involuntary, can and will result in the UNDERSIGNED being charged for the actual cost of re-keying the entire club at a minimum cost of $1,500.00
THE UNDERSIGNED HAS READ THE FOREGOING PARAGRAPHS AND VOLUNTARILY SIGNS THIS AGREEMENT BEING FULLY AWARE OF THE LEGAL CONSEQUENCES OF SIGNING THIS INSTRUMENT.
PRINT NAME: DATE:
SIGNATURE: