FOUR POINT ROD AND GUN CLUB
Membership Application 9/1/15 – 8/31/16
PLEASE PRINT LEGIBLYAND COMPLETE FORM IN ITS ENTIRETY
DATE ______
NAME ______
ADDRESS ______
CITY ______STATE ______ZIP ______
HOME PHONE # ______
ALTERNATE PHONE # ______Circle: work OR cell
E-MAIL ADDRESS: ______
The success of any not-for-profit organization depends on the members’ willingness to volunteer. Please indicate your interest in any of the committees listed below:
______GROUNDS______KITCHEN
______LEAGUE SHOOTS______SPECIAL EVENTS
______CORRESPONDENCE / NEWSLETTER______CLEAN-UP
______MACHINERY / MAINTENANCE______OTHER
What do you shoot? Archery _____ Trap ______Skeet ______Pistol/Rifle ______
What brought you to join today? Website ____ Referral ____ Exhibit ____ RENEWAL* ____
Other ______
* If renewal, the information supplied above (including blank fields) will overwrite any information we have on file. Please complete in full, even if your info has not changed.
MEMBERSHIP FEES:
ONE-TIMEPro-rated dues apply after OCT for NEW only.
INITIATION FEE$50.00______
SINGLE$80.00______This form, including your acknowledgment of
*FAMILY$90.00______ourSafety and Operating Rules (see reverse),
must be submitted with your dues.
TOTAL ______Membership includes a key to the grounds.
*FAMILY membership includes your spouse and children UNDER THE AGE OF 18. It also includes dependentchildren, up to the age of 25, who are attending college or serving on ACTIVE DUTY in the military service. Any person who does not meet these requirements must apply for a single membership.
Family Member Names: ______
Payment Method: Cash _____ Check No. ______Credit Card (in person only) ______
Please make checks payable to:Four Point Rod and Gun Club
Please mail payment and application to:P.O. Box 26711
Rochester, NY 14626
Returned check fee is $25.
Your personal information will not be available to anyone but the Four Point Board of Directors without prior authorization from you.
Membership dues are non-refundable and membership is non-transferrable.
Four Point Rod & Gun Club
Safety and Operating Rules
Safety is our foremost concern. Unsafe handling or misuse of firearms is cause for dismissal from membership and barring from the use of Four Point Rod & Gun Club facilities.
Every club member shares the duty and responsibility for following and enforcing these rules.
1)All venues open for shooting at 10:00 am and close at sunset or 8:00 pm, whichever is earlier.
2)Safe gun handling is required at all times. It is the shooter’s responsibility to be familiar with the safe operation of all firearms he/she handles or uses.
3)Firearms must be unloaded and the actions open when uncased on Four Point property, except when actually shooting. Break-open firearms may have actions closed when in gun racks.
4)Eye and ear protection are mandatory for all individuals on all firearm venues. This includes shooters, spectators, and range personnel.
5)NO alcoholic beverages are permitted on any shooting venue at Four Point. Individuals deemed to be unsafe are not permitted on any shooting venue.
6)Any individual bringing a firearm onto Four Point property must be in legal possession of it under New YorkState and Federal laws.
7)Members are responsible for ensuring that their guests are familiar with the safe operation of all firearms or equipment they may use and that they understand and comply with these rules.
8)ALL guests must sign the guest register in the clubhouse before using any firearm or archery venue. If the clubhouse is closed, guest must be present with a current member.
9)All children must be under adult supervision while discharging any firearm.
10)NO loaded firearms are permitted in the clubhouse, with the exception of a pistol for which you are licensed to carry concealed in NYS. If you carry a pistol, please follow all New YorkState and Federal laws in conjunction with the permit for a particular firearm.
11)Drivers on Four Point property must remain on the roadways, except to park, and maintain a speed of no more than 10 MPH
12)Individuals using the facilities of Four Point are expected to leave them clean and to place all trash in containers. All fired cartridge cases and shotgun hulls must be picked up and placed in the buckets provided. All casings and hulls left behind become the property of Four Point.
13)Pets are allowed on Four Point property. However, pets are NOT allowed in the clubhouse or on any shooting venue. Please pick up after your pet.
14)Trap and Skeet shooters must have their action open and firearm unloaded when moving from station to station.
15)Shooters may NOT use anything larger than 7 ½ shot anywhere on the property except the rifle/ pistol range.
16)Trap shooters are not to load more than one shell at any time, except when shooting doubles. Skeet shooters are not to load more than two shells at any time.
17)For your own safety, do not attempt to adjust any trap or skeet machinery. Any problems with equipment should be reported to club management.
18)The rifle/ pistol range may not be used until you have been properly certified and instructed in our range rules and have earned a badge.
SIGNATURE:______
PRINTED NAME:______DATE: ______