Dundee Sportsman's Club
2300 Plank Rd, Dundee Michigan 48131 Phone # 734-529-3581
APPLICATION FOR WAITING LIST / MEMBERSHIP
$25.00 Application Fee ( NON-REFUNDABLE ) Date: ________/ ________/ ________
1. Print Name: __________________________/ ________/ __________________________/ ___________________
First. M.I. Last. Nick Name
Date of Birth: Age:
Phone Number: Cell Phone:
Address:
City: State: Zip Code:
2. Occupation:
Are you A Past Member of the Dundee Sportsman's Club: Yes No
Where you Recommended by A Club Member: Yes No
You Must Have A Club Member Sponsor you for Membership:
Print Sponsor's Name:
Sponsor's Signature:
4. Is any Family Member A Member of the Dundee Sportsman's Club: Yes No
5. Have you ever been Convicted of Violating any Hunting or Fishing Laws?
If Yes Explain:
6. Have you ever been Convicted of A Felony or Misdemeanor that that would Prohibit you from Owning
Operating or Being Around Firearms: ? Yes No
7. Are you A Member of Any Other Sports Club: ? Yes No
List Club Names:
8. Please Check Primary Club Activities that Interests you:
R/F Rifle: C/F Rifle: Trap: Handgun: Archery:
Camping: Horseshoes: Picnics: Fishing:
Boy Scouts: Community Projects:
9. Have you Read and Understood the Club Rules and By-Laws: ? Yes No
10. Do You Have Any Skills: ? ( Carpentry, Electrician, Plumber, Ect )
Waiting List Member's
You Must Earn A Minimum of 50 Points to be Considered for Membership:
First Year Members Must:
(A) Be Placed on Probation for One Year: (B) Participate in One League Offered by the Club:
(C) Assist on Club Related Work for A Minimum of 15 Hours: (D) Participate Twice for Bar Duty:
Applicants Signature:
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DO NOT WRITE BELOW THIS LINE
APPLICTION ACCEPTED: _______ APPLICATION FEE PAID: _______ APPLICATION APPROVED BY MEMBERSHIP: ________
APPROVED AS PROBATIONARY BY MEMBERSHIP: _____/ _____/ ______ DUES PAID: ______/ ______/ ______
BECAME A FULL MEMBER ON: ______/ ______/ ______
OFFICERS ONLY:
INTERVIEWED BY (1) ____________________________________________________________________ DATE: _______/ _______/ _______
OFFICERS ONLY:
INTERVIEWED BY (2) ____________________________________________________________________ DATE: _______/ _______/ _______
2010