testing #2 | Rochester Brooks

MEMBERSHIP RENEWAL APPLICATION

Select your Membership Class *

Regular Membership $225 - Includes spouse/significant other as an Associate member & minor children

Non-Resident Membership $125 - Must reside over 50 miles from club. No hunting/voting privileges

Student Membership $100 - 18 Yrs.+, with Full Time 12+ Credit Hours. *Copy of College Schedule and Student ID REQUIRED. Student Members allowed one guest per visit. No hunting/voting privileges

Your Name *

Street *

City *

State *

Zip *

Mobile/Home Phone *

Email *

COLLEGE ENROLLMENT

Name of College *

REQUIRED - Upload an image of your Student ID *

REQUIRED - Upload an image of your current College Schedule *

Your Emergency Contact Name *

Emergency Contact Phone *

MEMBER’S ACKNOWLEDGMENT OF RISK

In consideration of the services of Rochester Brooks Gun Club, Incorporated, its officers, directors, agents and employees, and all other entities associated with Rochester Brooks Gun Club, Incorporated I agree as follows:

Although Rochester Brooks Gun Club, Incorporated has taken reasonable steps to provide me with appropriate facilities and equipment and skilled personnel in order that I may participate in and enjoy an activity for which I may not be skilled, Rochester Brooks Gun Club, Incorporated hereby informs me that this activity is not without risk. Certain risks cannot be eliminated without destroying the unique character of shooting sports activities. The same elements that contribute to the unique character of this activity can be causes of loss or damage. Rochester Brooks Gun Club, Incorporated wishes me to enjoy the shooting sports activities but wants me to know in advance what to expect and be informed of the inherent risks. These risks include:

Accidental injury and/or property damage due to the use of firearms.
Accidental injury and/or property damage due to slips and falls
Accidental injury and/or property damage due to varied terrain and/or unfavorable or extreme weather conditions.

I understand that shooting sports activities may entail risks of injury of death to myself. I understand that the description of these risks is not complete and that other unknown or unanticipated risks may result in injury or death. I agree to assume responsibility for myself for the risks identified herein and for those risks not specifically identified. My participation is voluntary and I elect to participate in spite of risks.

I have read and understand Rochester Brooks Gun Club, Incorporated Safety and Operating Rules.

I agree that prior to participating in any shooting sports activity I must be familiar with the safe operation of any firearm that I will use and understand the safety and shooting procedures applicable to that activity. I agree that I must be physically capable of safely participating.

I assume full responsibility for myself for bodily injury, death and loss of personal property and expenses thereof as a result of those inherent risks and dangers and/or of my own negligence.

Member's Acknowledgment of Risk *

I have read, understand and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself.

Payment Instructions

Payments are made through PayPal. Having a PayPal account is NOT REQUIRED. If you don’t have a PayPal account – select the “Pay with Debit or Credit Card” or “Continue as Guest” button located below the Log In section on the PayPal page.

If you prefer to use conventional payment methods. Please select the “I don’t want to pay online” button at the bottom of this page.

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