LHSR 1

MEMBERSHIP APPLICATION
APPLICANTS FULL NAME:
ADDRESS:
DATE OF BIRTH:
NRC No OR PASSPORT No:
TEL No:
CELL No:
E-MAIL ADDRESS:
EMERGENCY CONTACT No:
IF YOU HAVE MEDICAL INSURANCE PLEASE PROVIDE DETAILS BELOW:
ATTACHED TO THIS APPLICATION IS A LIST OF THE RULES THAT GOVERN
LEOPARDS HILL SHOOTING RANGE. BY SIGNING THIS APPLICATION YOU AGREE TO
ADHERE TO THESE RULES WHICH ARE DESIGNED FOR THE SAFETY OF YOURSELF AND
OTHER RANGE USERS. MEMBERS ACTING IN AN UNSAFE OR DISCOURTEOUS MANNER
WILL BE ASKED TO LEAVE THE RANGE AND MAY HAVE THEIR MEMBERSHIP WITHDRAWN.
I UNDERSTAND THAT IF ACCEPTED AS A MEMBER OF LEOPARDS HILL SHOOTING RANGE
I AGREE AND ACCEPT THE RULES OF THE RANGE AND AGREE TO ABIDE BY THEM.
I AGREE TO ACT IN A SAFE AND RESPONSIBLE MANNER AT ALL TIMES AND TO MAKE
SURE THAT ANY GUESTS I BRING TO THE RANGE DO LIKEWISE.
I UNDERSTAND THAT FIREARMS AND SHOOTING SPORTS CAN BE HAZARDOUS AND I
AGREE TO ACT AT ALL TIMES IN A MANNER THAT WILL NOT COMPROMISE THE
SAFETY OF MEMBERS. I HEREBY RELEASE LEOPARDS HILL SHOOTING RANGE, THEIR
STAFF, MEMBERS AND AFFILIATES FROM ANY AND ALL LIABILITIES FOR MYSELF OR
MY GUESTS FOR DEATH, PERSONAL INJURY OR PROPERTY DAMAGE THAT MAY RESULT
WHILE ENGAGED IN CLUB ACTIVITIES AND/OR WHILE WE ARE ON CLUB OWNED OR
LEASED PROPERTY.
APPLICANTS SIGNATURE:
DATE:
WITNESS NAME AND SIGNATURE
DATE:
THIS APPLICATION MUST INCLUDE: / COMPLETED FORM LHSR 1
COMPLETED FORM LHSR 2
APPLICATION FEE OF K650,000
2 PASSPORT SIZE PHOTOGRAPHS
APPLICATIONS TAKE UP TO 10 DAYS TO PROCESS AND CAN BE COLLECTED AT LHSR

LHSR 2

OPEN DAYS

The Shooting Range will be open to members:-

Everyday between 9.00 and 18.00 except for designated competition and training days.

Members will be advised of these days but should phone the range master to check in advance.

To reserve one of the Firing Points on the Shooting Range please phone in Advance:- Phiri: 0976687297

MEBERSHIP FEES

Yearly Membership: ZK650,000-00 Per Annum (2011-2012)

(Valid for the following 12 months after payment)

Members Fees:

Each member will be free to use the range (clause 8)

Each round of clays (25) will be charged as per price list and must be paid in advance.

Only members may buy ammunition at the range.

Members qualify for a 5% discount at the club shop.

Members qualify for a 10% discount on all club competitions.

Members qualify for a 5% discount at Sporting Guns, Lusaka shop.

Members may bring two non members per visit for free (spectators only).

Members may bring non members to shoot, they will be charged as per posted fees.

Non-Members

Each non-member (shooting) will be charged a daily range fee per visit, but must be introduced and accompanied by a member (Rules clause 11)

Each round of clays (25) will be charged as per price list and must be paid in advance.

MEMBERSHIP CARDS

Your membership card will be issued after receipt of payment of the annual fee

PLEASE READ THE ATTACHED SHOOTING RANGE RULES AND SIGN BELOW

I agree to be bound by the terms and conditions of the Rules of Sporting Guns Shooting Range

Signed this day______of______(Year)______

Members signature:______

ANY BREACH OR MISCONDUCT WILL RESULT IN TERMINATION OF MEMBERSHIP

Please return completed application with 2 passport size photographs and the application fee to the club office at the range or to Sporting Guns, 13 Omelo Mumba Road, Lusaka.