HTRPC Visitor form
Harlow Town Rifle & Pistol Club form for visitors and forming the first part of your membership application should you wish to subsequently join the club.
It is recommended that you contact the Club Secretary to book your visit date before completing this form. Completing this form does not constitute an application to visit, responses are not checked until you contact the Club Secretary. All Visitor information is on our website www.htrpc.co.uk on the Visitors page and please also read the FAQs document.
If you have previously completed this form, there is no need to do so again unless your details have changed.
Notes for visitors to the club *
Our rules are that you are allowed up to two visitor sessions in order to decide whether you want to join as a probationary member or not. Probationary members are required to make a minimum of 5 visits within a rolling 12 month period to be considered for full membership – it is not automatic. Visitor sessions do not count towards the 5 required visits, but if you join at the end of that session, that visit will count as you will be considered a probationary member on that day. Visitors pay £10 range fees and £5 for use of a club gun if you require one. You can either bring your own cartridges or buy from the club on the day.
Required
Full name *
Your answer
Date of birth *
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Place of birth *
Your answer
Home address (excluding postcode) *
Your answer
Postcode *
Your answer
Home phone number *
Please include a space after the area code
Your answer
Mobile phone number *
Please include a space after first 5 digits
Your answer
E-mail address *
This will be used for all club communications
Your answer
If you are coming as a guest (visitors can ignore this)
Please enter the name of the club member who has invited you
Your answer
Names of other Shooting clubs of which you are a member, indicating your primary club
Your answer
Enter brief details of your shooting experience *
Please indicate within this your experience with practical shotgun in particular
Your answer
Have you ever had an F.A.C. revoked or an application for an F.A.C. refused? *
If Yes to above question, enter details
Your answer
Have you ever been refused membership or had membership terminated by this or any other shooting club or association? *
If Yes to above question, enter details
Your answer
Are you in possession of a current Firearms or Shotgun certificate? *
Enter FAC number
Your answer
Enter FAC expiry date
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Enter SGC number
Your answer
Enter SGC expiry date
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Enter issuing region for FAC/SGC certificate
Your answer
Are you prohibited from possessing firearms or ammunition by the provisions of the firearms act relating to previous convictions ? *
Privacy Notice *
Harlow Town Rifle & Pistol Club take the protection of the Personal Data that we collect & hold about you seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with the 2016 General Data Protection Regulations.Please read the full privacy notice on the Documents page of our website www.htrpc.co.uk carefully to see how we will treat the Personal Data that you provide to us. We will take all reasonable care to keep your information secure and to prevent any unauthorised access.Your Rights as an EU Data Subject are preserved when providing your Personal Data and if you have any questions on the Policy or your Rights please email info@htrpc.co.uk
Required
I hereby apply for visitor membership of THE HARLOW TOWN RIFLE & PISTOL CLUB and will obey the rules of the club and the direction of the Range Officers. I understand that the liability of the club for personal injury is limited to that provided by the relevant insurance policy. *
Required
If you hold a current Firearms or Shotgun certificate, this MUST be shown when you sign in. If you do not hold a certificate, you must bring and present both parts of your driving license or some other form of photographic ID that also shows your address. *
Required
Enter document presented to show proof of address *
HTRPC signing in official to initial to indicate address checked
Your answer
Where a visitor is under the age of 18 years, a parent or legal guardian must also sign this application authorising admission to the club as a Junior member. *
Required
PLEASE NOW PRINT AND SIGN THIS FORM (BEFORE YOU SUBSEQUENTLY CLICK THE SUBMIT BUTTON), TO BRING WITH YOU ON YOUR FIRST VISIT TO THE CLUB *
Required
SIGNATURE OF APPLICANT
Your answer
PARENT / GUARDIANS NAME
Only if applicant under 18
Your answer
PARENT / GUARDIANS SIGNATURE
Only if applicant under 18
Your answer
Date signed
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Submit
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