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KISHWAUKEE ARCHERS INC. |
MEMBERSHIP APPLICATION
Name_____________________________________________________________________________
Occupation________________________________________________________________________
Address____________________________________________________________________
Phone_____________________________Email__________________________________
Skills which may be useful to the
club____________________________________________
Name of spouse and/or children included in
the family membership
______________________________________________________________________________________________
Are you a member of the National Field
Archery Assoc.? ___yes ___no
Are you a member of other archery
association/club(s)? ___yes ___no
Indicate which type of MEMBERSHIP
CLASSIFICATION you are applying for (below) and
include the appropriate cash or check, payable to Kishwaukee Archers
____Family (working)
$85 (dues) + 4 work hours + $100 (one-time initiation fee*) =
$185
____Family (non-working) $145 (dues) + $100 (one-time initiation fee*)
= $245
____Student (minor or full-time student
up to age 23) $30 (dues)
*
= for continuous un-interrupted membership
NOTE: Annual membership runs from April 1 to
March 31 each year. Applicants joining after December 31 will pay a prorated
amount of dues plus full initiation amount.
I understand that all new members will
be contacted and must attend an orientation program. All members
must comply with the club rules. Failure to do so may result in loss of
membership. I understand that the club provides no personal liability
insurance to individual members on club property, and give my permission to
provide any of the information contained on this application form to other club
members.
Applicant Signature_________________________________________
Date__________
Parent/guardian Signature (if under 18)
___________________________ Date__________
Sponsor’s
Signature__________________________________________Date__________
Amount Received____________
By_____________________________Date_________
(TURN OVER – APPLICANT MUST COMPLETE
BACK OF FORM)
PLEASE
NOTE THE FOLLOWING:
1. Each
applicant must be sponsored by a current club member.
2. Application form and appropriate fees can only be given to current Officers of Kishwaukee Archers, Inc. or mailed to:
Kishwaukee Archers Inc., PO box 495
, Sycamore, IL 60178
3. It is each member’s responsibility to follow the
Constitution, By-Laws and Range Rules for Kishwaukee
Archers, which are available over the Internet at kishwaukeearchers.org
4. Applicants selecting a working membership must complete their work hours prior to March, 31 of each year. Failure to complete the required hours will push the applicant into the higher dues amount for a non-working member for the following year.
5. Applicants
selecting a working membership must number (below) their top five (5)
choices (number 1 = top choice and so on) as
to how they would like to participate. First come first choices
honored. If left blank members will get assigned.
____Grounds
Maintenance
____Indoor Cleaning
____Building
Maintenance
____Kitchen/Concession
____Outdoor
Range
____Indoor 3D Championship Shoots
____Outdoor 3D
Shoots
____Indoor Adult Target League
____Firewood
cut/stack/sale
____3D Hunter’s League
____Legal/Administrative ____New
Member Orientation
____Work Hour
Coordinators
____ Website/Webmaster
____Special Projects
____Misc. (other – please specify below)
(approved by Board of
Officers)
Indicate also if you would like an
Officer/Board position in future______________________.
Demographics Survey! Please
indicate the number shooters/hunters on your membership in the following
categories:
Age group 5-12________, 13-17_________,
18-up_________,
also # of: Bow hunters_____,Outdoor.3D_____,
Indoor.3D_____,Indoor Paper______, Outdoor Paper_____, Other:____________________________.
Note exact age in age group if you like.
Thanks.
For more information, call Curt Thompson
(President) at 815-895-7811 or Mark Jones (Vice President) at 815-784-4400