GATOR SKEET & TRAP CLUB

5202 N.E. 46^th Avenue

GAINESVILLE, FLORIDA 32609

TELEPHONE (352) 372-1044

Wednesday, Friday, Saturday & Sunday Noon – Dusk

Summer operating hours June-Aug vary (call first)

Family Membership form:

OCTOBER 1,  through  SEPTEMBER 30.

Name (print) _____________________________________________________________

Address:_________________________________________________________________

City:_____________________________ State:__________________ Zip:____________

Home Phone:(      )_______-____________ Work Phone: (       )________-____________

e-mail address :______________________________     DOB:______________________

Emergency Notification: Name_________________________ Ph#__________________

Address_______________________________________Relationship________________

Gator Skeet & Trap Club, Inc. membership dues are $ 125.00  for a family membership which includes your spouse and children, age 18 and under at no additional cost, and tax. Please make your check payable to Gator Skeet & Trap Club, Inc.  (prices are pro-rated lower as the year progresses, call for information…)

If you wish to join or renew your membership with the NRA they will pay our club $ 5.00 per renewal and $ 10.00 for new memberships originating through our club. If you join through our club, dues are $ 25.00 per year. Please make your check payable to the National Rifle Association. Current NRA ID#______________ expiration date__________________

I have read and signed the Gator Skeet & Trap Safety & Operating Rules and will abide by them.

Signature_________________________________