RGGC NEW MEMBER APPLICATION Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 2LayoutName *FirstMiddleLastPlease at a minimum provide middle initial (This helps keep like names separate)Email *EmailConfirm EmailPhone *Date of Birth *Date of BirthAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutOccupation *Job Title *Employer *Why do you want to be a member of this club? *Have you ever been a member of this or any other gun club? (Provide club name) *If yes, why did you drop membership?LayoutDo you own firearms? *NOYESDo you have a Concealed Handgun License *NOYESHave you ever been convicted of a felony or a game violation? *NOYESConsealed Handgun License – Issuing State *Have you ever been legally disabled from owning firearms? *CommentsAre you a current member of a Second Amendment Organization? *List Organizations here.Have you ever participated in any matches or taken training at this club? *List matches or training here.Have you served in the military? *Please list the Service Brank and Type of discharge.Do you hunt or participate in any other shooting sports? *Tell us what you hunt for and what shooting sports you participate in.Have you completed any firearms, hunter, or trapper education/safety courses? *ListAre you or have you ever been a certified instructor for firearms, hunter, or trapper education/safety courses? *ListAre you active in any conservation practices either individually or organized? *ListFraternal or Civic Organizations of which you are or have been a member: *ListREFERENCES:Are you being sponsored by a member of RGGC?List Member NameGive two references other than relatives, employer, or sponsor.List Names here – Contact information will be requested as needed.RGGC Range Rules Paper membership cards with the 2024 target shed code will be received at orientation. By submitting this application for club membership: I am verifying that I have read, understand and will follow the current published Range Rules. A copy of the current Range Rules is at www.rggcohio.com. RGGC Range Rules I will also follow all posted signage on the property. I understand that failure to follow the current published rules may result in the loss of range privileges and a possible revocation of membership as determined by the Board of Governors. I agree to absolve the Richwood Gun and Game Club of any liability regarding any injuries I may sustain and/or from any illness or disease contracted while at RGGC from a declared or undeclared pandemic. Dues are as follow: $100 for individual membership There is a one time initiation fee of $50 Annual renewal dues must be paid for by Jan 31 for the calendar year. Membership in a recognized Second Amendment organization is recommended. Application approval may take 4 to 6 weeks. You will be required to attend a Range Orientation and Rules training session prior to receiving your membership card and range privileges. Memberships are from Jan.1 to Dec.31. Applicants joining in December receive the next calendar year. PLEDGE: I CERTIFY THAT I AM A CITIZEN or LEGAL RESIDENT OF THE UNITED STATES OF AMERICA; THAT I AM NOT A MEMBER OF ANY ORGANIZATION WHICH HAS AS ANY PART OF ITS PROGRAM THE ATTEMPT TO OVERTHROW THE GOVERNMENT OF THE UNITED STATES BY FORCE OR VIOLENCE; THAT I HAVE NEVER BEEN CONVICTED OF A CRIME OF VIOLENCE OR FELONY; AND THAT IF ADMITTEDTO THE MEMBERSHIP, I WILL FULFILL THE OBLIGATIONS OF GOOD SPORTSMANSHIP AND GOOD CITIZENSHIP, AND WILL ABIDE BY THE CODE OF REGULATIONS AND RULES OF THE RICHWOOD GUN AND GAME CLUB. I hereby release the preceding information to the Board of Governors of the Richwood Gun and Game Club and understand it will be used to help determine my acceptability as a member. I have been given a copy of the latest Range Rules and have read and agree to abide by these rules and any future revisions to the Range Rules as may be modified. I will attend a Range Rules and Member Orientation session prior to receiving my membership card. RGGC Range Rules Signature * Clear Signature Date *NextRELEASE AND WAIVER OF LIABILITY AGREEMENT for MEMBERSHIP SECTION:RICHWOOD GUN AND GAME CLUB, Inc. RELEASE AND WAIVER OF LIABILITY AGREEMENT for MEMBERSHIP Name *FirstLastI, the above named club member,(“Participant”), acknowledge that I have voluntarily applied to participate in the following activity (ies): Membership and participation in any or all activities, shooting or non-shooting related, hosted or conducted by members of the Richwood Gun and Game Club, Inc. I AM AWARE THAT THESE ACTIVITIES ARE INHERENTLY HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. LayoutI verify this statement by placing my initials here: Parent or Guardian’s initials (if under 18): Initials * Clear Signature Parent or Guardian Initials Clear Signature As consideration for being permitted by the Richwood Gun and Game Club to participate in this activity and use the Club premises and facilities, I forever release the Richwood Gun and Game Club, its Members, any Club-affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE RICHWOOD GUN AND GAME CLUB, AND SIGN IT OF MY OWN FREE WILL. If Signed by Parent or Guardian: I verify that the dangers of the activities and the significance of this Release and Waiver were explained to the Participant and that the Participant understood them. LayoutExecuted at the below, Ohio, city or county *City or CountyDate *Date of agreement / SignaturePARTICIPANT / RELEASOR PARENT OR GUARDIAN * Clear Signature SignaturePARTICIPANT (Minor, under 18) Clear Signature SignatureIF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR GUARDIAN MUST SIGN AND INITIAL THIS FORM WHERE INDICATED. Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSignature * Clear Signature LayoutMember NumberAdministrative Use OnlyPayment VerifiedAdministrative Use OnlyAccess Card NumberAdministrative Use OnlySubmit
