Blue Rock Sportsmans Club
New Member and Renewal Form 2018
Email address *
Company *
Enter place of employment
Your answer
Is this a New Member Application *
Is this a complimentary membership? *
Referring Member Email address
For New Members only. The Referring Member Email address must be entered.
Your answer
Cell Number *
i.e. 501-xxx-xxx
Your answer
Alternate Email
Your answer
First Name *
Your answer
Last Name *
Your answer
Paying for Someone else
If your company or someone else is paying for your membership enter the name below.
Your answer
Address *
Your answer
Select your four digit pin access code. *
This is required to access the club for 2018
Your answer
Spouse First Name
Your answer
Spouse Last Name
Your answer
Children's Names
Your answer
Are you a school/church trap coach? *
Name of school or church?
This is only needed if you answered yes to the previous question.
Your answer
Please select your shooting discipline: *
Select your age range: *
Did you participate in league 2017? *
Do you plan on participating in league 2018? *
What day would you prefer league? *
What can we do to increase participation at the club?
Your answer
What type of events would you prefer the club to host? *
Guest fees are $1/day for all non-members and all guests must complete the guest form. I have read and will follow the rules listed on our website. *
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