CATOCTIN FISH & GAME PROTECTIVE ASSOCIATION

2016 - MEMBERSHIP APPLICATION AND INFORMATION REFERENCE

(First year’s dues = $200)

(PLEASE PRINT) Applicant’s Name: First, MI, Last, Sufx):______

Present Mailing Address (PO BOX, if that is what you use):______

City: ______State:______9 digit Zip:______ Home Phone:______

Cell Phone:______E-Mail: ______(Consent to club sanctioned e-mail transmission)

Employer:______Occupation:______Work Phone:______

Please check if applicant is an immediate family member (son, daughter, wife, husband ) of a current member: ____ Year Born: ____ Please check if you are a registered voter: ______(must be a registered voter to join)

CATOCTIN FISH & GAME IS A SPORTSMAN’S CLUB AND ALSO PERFORMS COMMUNITY SERVICE ACTIVITIES. TO BE GRANTED FULL MEMBERSHIP, EACH PROBATIONARY MEMBER, MUST HELP WITH AT LEAST ONE CLUB ACTIVITY AND ONE TRAP SHOOT; MUST COMPLETE TWELVE (12) HOURS OF APPROVED SERVICE; AND MUST ATTEND TWO GENERAL MEMBERSHIP MEETINGS BY THE END OF HIS/HER SIX MONTH PROBATIONARY PERIOD. IF THESE OBLIGATIONS ARE NOT MET, INITIATION FEES AND DUES WILL NOT BE REFUNDED AND YOUR MEMBERSHIP WILL BE TERMINATED. EVERY APPLICANT MUST BE A REGISTERED VOTER (THE CLUB HAS MEMBERS WHO CAN REGISTER YOU).

THE FOLLOWING YEAR, EXISTING MEMBERS WHO HAVE NOT MET THEIR TWELVE (12) HOUR AND TWO MEETING OBLIGATIONS (NOV. 1 THROUGH OCT. 31) WILL BE ASSESSED AN ADDITIONAL $160.00, FOR A TOTAL OF $200.00 DUES.

Mail application to: Secretary CF&GPA, P.O. Box 53, Myersville, MD 21773

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INDICATE CLUB ACTIVITIES THAT YOU PLAN TO VOLUNTEER TIME TO: (CIRCLE TOP 3)

A.   Conservation Projects B. Building/Grounds Maintenance C. Range Maintenance

D. Pond Maintenance E. Meeting Program Development F. Fund Raising Projects

G. Membership Program H. Juniors Program K. Hunter Safety Instructor

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SKILLS OR SERVICES, WHICH YOU COULD OCCASIONALLY PROVIDE TO THE CLUB EITHER FREE OR AT A REDUCED COST: (CIRCLE ALL THAT APPLY)

A.   Carpentry B. General Contracting C. Duplicating D. Plumbing

E.   Welding F. Heavy Equipment G. Accounting H. Building Supplies

I.   Electrician J. Wholesale goods K. Painting L. Masonry

M.   Gunsmithing N. Computers O. Legal P. Other (explain)

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HOBBIES THAT YOU PLAN TO PARTICIPATE IN: (CIRCLE TOP 3)

A.   Pistol Shooting B. Fishing C. Trap Shooting D. Rifle Shooting

E.   Archery F. Hunting G. Conservation H. Other (explain)

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APPLICANTS SIGNATURE DATE

SPONSOR’S NAME (Printed) SPONSOR’S SIGNATURE DATE SPONSOR’S Phone #

THIS FORM IS NOT VALID AFTER DECEMBER 31, 2015 AND MUST BE RESUBMITTED

01-15-2011 Rev. 11.2 Tim Eccard