Shooters Club Member Registration Primary Member Name* First Last HiddenSecond person name (Partner Interested as well) First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Email (Primary Person)* Phone for Primary Person*HiddenEmail (Second Person) HiddenPhone for Second personHow long have you lived in Pine Ridge?*Less than 1 year1-5 Years5-10 Years10 Years or MoreI do not live in Pine RidgeWhat areas Type of shooting do you like to do or are interested in doing* Handgun/Pistol Rifle Shotgun/Skeet Archery Paintball/Archery Other shooting types not listed (Let us know if we missed an area) What services would you like to club to try to provide* Pistol Shooting League Rifle Shooting League Shotgun/Skeet league Instructional Shooting groups Concealed weapons Class Womens group Swap Meets Lending library (of shooting products) Bulk ammo program Any other things you would like the club to provide?HiddenAre you going to be able to make the mtg on Nov 10th? at the Pine Ridge Community Center?* Yes No By Fillng out this form you are letting us know you are interesed in the group and would like to be kept up to date on the club activites. If you do not please let us know Keep me up to date - I am in! Not interested - Do not email me Are you retired or Still Working*RetiredStill workingThis helps us understand when we need to hold eventsHiddenNo Question Are you interested in taking a concealed Weapons Class?*YesNoDo you have Armed Forces and/or Law Enforcement Background?*NoneArmed ForcesLaw EnforcementAre you a Instructor? If so what type and through what agency?Are you a EMT or have any medical Experience?Are you a Range Safety Officer? If so what certification?What is the best day of the week for you to attend the monthly Meeting?*MondayTuesdayWednesdayThursdayFridaySaturdaySundayWhat days are you available to shoot?*MondayTuesdayWednesdayThursdayFridaySaturdaySundayDo you have anything to present/Share with the group? (Topics you are an expert at)Do you know or have a relationship with someone that would be good to be brought in as a guest presenter and if so why?HiddenDo you Think there should be an Annual Fee to be part of the group? HiddenShould this be part of the NRA or other organization? How Long have you been shooting?*Less than 1 year1-5 Years5-10 Years10+ YearsWhat level would you consider your skillset?*BeginnerIntermediateAdvancedHiddenWhat areas Interest you the Most? Choose 2-5 HiddenWould you consider Volunteering? What ranges are you currently a member of and what level?
