Swift River Sportsman's Club

79 Moore Rd.  Belchertown, Ma 01007

413-323-9387

www.swiftriversportsmans.org

 

 

2008 Membership Application

 

 

____ Senior Member (18 years or older) Fee = $100.00

A Senior Member is a key card holding member that allows the individual to have access to the club and all the indoor ranges. Key card members also have voting rights at meetings. The requirements for a member to receive a key card are as follows: Within six months of application, he or she must complete the required amount of work for the club, i.e. working at club functions, grounds work, fund raising, etc. Upon completion of the required work the member will be issued their key card (See Note below). To maintain their senior membership status the individual is required to complete the required amount of work per year. If those hours are not completed the individual will be assessed at a rate of $10 per hour for the unworked hours. If the assessment is not paid the member will forfeit their senior membership status and not be accepted back to a senior membership status until the assessment is paid.

 

(Note) The work requirement is currently 12 hours.

 

____Family members (Senior member, spouse and juniors) Fee = $125.00

Open to Senior member plus spouse and any junior members of their household. See Bylaws for full description of rights, duties and restrictions. Please list Family members on reverse side.

 

 

____Junior member (Less than 18 years of age or a full time college student until age 23) Fee = $1.00

A junior member has access to all the club has to offer, but must be accompanied by an adult when using any firearm or bow and arrow unless the junior member is 18 or older or is 15 - 17 and has completed a certificate of competency with firearms as provided by the Hunter Education Bureau or the Dept. of Public Safety. A junior member will not have any voting rights.

 

 

First Name_________________________ Middle_______________ Last Name________________________________________

 

Street_______________________________________ City________________________________ State____________________

 

Zip________________________ Telephone Number ________________________Occupation____________________________

 

Date of birth_______/_______/_______ Email address__________________________________@________________________

 

Signature of Applicant ___________________________ Signature of Senior member sponsor___________________________

 

 

Please tell us what your interests are.

 

__ Archery indoors      __ 3D Shoots    __ Trap    __Pistol shooting indoors    __Rifle shooting    __Fishing

__Bird & big game hunting    __Snowshoeing    __Cross country skiing     __ hiking   __horseback riding

__Eating great food at our game dinner and clambake

 

 

I CERTIFY THAT I HAVE READ THE ABOVE MEMBERSHIP DUTIES AND DESCRIPTIONS AND FULLY UNDERSTAND MY OBLIGATIONS TO THE CLUB, I HAVE CHECKED MY DESIRED MEMBERSHIP LEVEL AND SUBMIT MY APPLICATION FOR MEMBERSHIP.

 

 

OFFICE USE ONLY

 

Paid _________________ Paid check #__________________

Card issued ________________________________________

Processed By _______________________________________

Date ______________________________________________