Haliburton County Marksmen Club
Membership Application

Electronic Application

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region Postal Code
Home Phone*
Work Phone
Cell Phone
Email Address*
If you currently have a Firearms Licence (PAL), please fill in the details below:
Firearms Licence Number:
Expiry Date
Month
Day
Year
Please include a copy of both sides of your firearms license and other qualification certificates.
Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 256 MB.
Are you now, or have you ever been, a member of another shooting club?*
- Yes
- No
Details if Yes
Have you successfully taken the CSSA Handgun Safety Course or equivalent firearms safety course?*
- Yes
- No
Details if Yes
You must be a member of CSSA while a member of HCMC. If you are already a member please add this Club to your membership information at the CSSA office.*
CSSA Number:*
CSSA Expiry Date*
Month
Day
Year
List two (2) current members of HCMC who will sponsor your membership or two (2) character references below:*
Please give their name and phone number.
Check this box to be included in HCMC emails for bulletins and information.
- I agree
By checking the box below, I acknowledge that I have read, and agree to abide by, HCMC’s Constitution and By-Laws, Range Safety Basics and related guidelines as displayed on the website, posted at the Club, or otherwise made available. I understand that non-compliance may result in Club discipline which may include suspension of membership and/or range access. I also acknowledge that I have read and fully understand the accompanying document that outlines the responsibility of the Member, herein described, to act as a Range Safety Officer as required on HCMC property.
Applicant's Agreement*
- I agree
Agreement Date*
Month
Day
Year

PDF Application with Fillable form.

Haliburton County Marksmen Club Membership Application - PDF
Please submit to HCMC Inc. P.O. Box 56, Kiinmount ON K0M 2A0
INCOMPLETE APPLICATIONS WILL DELAY THE REVIEW OF YOUR APPLICATION
This form may be filled out and printed on your computer using Adobe Acrobat Reader