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Submit this application with fees by check, cash, or electronically, for each applicant over the age of 18 years; applications for minor members under the age of 18 years are not required unless, and until, reaching the age of 18 years as a current member. Only principal applicants must show proof of current NRA membership and any previous experience in the safe use of firearms.

Applicant Information

Application Type:
Single Member Family Membership (Up to 4)
# Adults:
# Minors:
Family or Corporate Name:
Name:
Current Address:
 
City:
State:
ZIP Code:
Email:

Phone:


Firearm Proficiency

Describe & Attach Proof of formal training and/or experience with safe firearm usage:

NRA Membership Number:

Expiration:

CWL Holder/#:

Expiration:
Are you a certified firearms instructor?
Yes No

Shooting Interests:
BULLSEYE PISTOL
ACTION PISTOL
PRACTICAL PISTOL
TRAP
HIGH POWER RIFLE
SMALL BORE RIFLE
YOUTH PROGRAMS
MUZZLE LOADING
SPORTING CLAYS
.22 SILHOUETTES
SELF-DEFENSE
SAFETY TRAINING
Other:  

YOU ARE ENTERING AN ANNUAL CONTRACT WITH A $125.00 ONE TIME ONLY NON-REFUNDABLE APPLICATION FEE, AND DUES PAYABLE ANNUALLY, SEMI ANNUALLY, OR QUARTERLY. SINGLE MEMBER QUARTERLY AND SEMI ANNUAL DUES INCLUDE A $10.00 PER QUARTER CARRYING CHARGE (CC), FAMILY OR CORPORATE MEMBERSHIP QUARTERLY AND SEMI ANNUAL DUES INCLUDE A $20.00 PER QUARTER CARRYING CHARGE (CC).

Membership

Application Fee

Dues

CC

Total

SINGLE

 

 

 

 

Annual

$125.00

$300.00

 

$425.00

Semi-Annual

$125.00

$150.00

$20.00

$295.00

Quarterly

$125.00

$75.00

$10.00

$210.00

FAMILY

 

 

 

 

Annual

$125.00

$600.00

 

$725.00

Semi-Annual

$125.00

$300.00

$40.00

$465.00

Quarterly

$125.00

$150.00

$20.00

$295.00

Applicant Information

1. Have you ever been arrested of a crime?
Yes No
If yes, please explain:
2. Have you ever been convicted of a felony or a first degree misdemeanor?
Yes No
If yes, please explain:
3) Have you ever been convicted of a crime involving a firearm?
Yes No
If yes, please explain:
4) Have you ever been adjudicated to be insane, an alcoholic or an illegal user of drugs, narcotics or controlled substances?
Yes No
If yes, please explain:
5) Have you ever pled nolo contendere or pled guilty, or had adjudication withheld to a crime which is
a felony or a first degree misdemeanor?
Yes No
If yes, please explain:

By submitting this application, I hereby certify that all statements made on this form are true and I hereby authorize appropriate officers of the VOLUSIA COUNTY GUN & HUNT CLUB or their designees to verify the information contained on this form.

Membership is a minimum of one (1) year and can be cancelled any time after fulfilling that one (1) year requirement. I understand that my membership dues must still be paid regardless if I use the range or not during that year period. Membership dues are due no later than 15 days after receipt of the invoice and if paid late, a $15.00 late fee will be added for each month the payment is late.

I acknowledge that I have read and understand the General Range Rules, Club Rules, Range Safety Rules, Standing Rules, By-Laws of VCGHC and that I will fully comply with these rules and any future rules that the club may create. I agree that any misstatements of material facts on this form or any violation of rules may result in revocation of my membership. I further understand and agree that use of this facility is entirely at my own risk, that I assume all risk and danger incidental to any activity conducted on Club property. These risks include but are not limited to errant or misguided objects of competition or Acts of God. I hereby release the Volusia County Gun & Hunt Club, participants, property owners, and all agents thereof from any and all liability that may occur while I am at this range. I understand that I am responsible for my personal safety, the safety of my family and the safety of my guests. I further agree to pay for any and all damages caused by me, my family, my guests, my firearms, my ammunition or my vehicle.

 



This application does not convey any rights or privileges relating to membership in the Volusia County Gun & Hunt Club unless and until the application is approved by the Board of Directors. Your membership may be cancelled at any time for not adhering to the club rules or committing a gross safety violation.



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Volusia County Gun & Hunt Club
4845 E. SR 44
New Smyrna Beach, FL 32168
ph: 386-717-1394
updates@volusiacountygunclub.com

Volusia County Gun Club - Volusia County Pistol Range - Volusia County Shooting Range
Volusia County Rifle Range - Volusia County NRA Firearms Training - Volusia County Hunt Club