Membership Online application

Name (as appears on your R/PAL)*

First Last

Name (as you would like it displayed on your membership card)*

First Last

Address*

Street Address Address Line 2 City State / Province / Region Postal Code

Home Phone*

Cell Phone

Email Address*

Enter Email Confirm Email

If you currently have a Firearms Licence (PAL), please fill in the details below:

Firearms Licence Number:

Expiry Date

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.

Indicate the Type of Membership you want*

Restricted

Nonrestricted

Are you now, or have you ever been, a member of another shooting club?*

Yes

Details if Yes

Have you successfully taken the CSSA Handgun Safety Course or equivalent firearms safety course?*

Yes

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*

If you are not a CSSA member, please include proof of application (Screenshot of your application)

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 256 MB.

List two (2) current members of HCMC who will sponsor your membership if available:*

Please give their name and phone number.

An interview with Board members will be scheduled early in 2025

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*

NEW MEMBER FEES*

Fees include a one-time initiation fee of $500.00 for single and family memberships. Fees are payable by cheque, money order or e-transfer to hcmcnet2020@gmail.com. Please, no cash.

Single $630.00

Family* $645.00

Junior** $51.00

*Family Membership: Member + Spouse + Children seventeen years of age and under. Note: Provide names of Family members below. Family members who will be regularly active shooters should fill out separate applications and attach them to the main family member’s application. **Junior Membership: Member who has not reached his/her 18th birthday.

List your Shooting Qualifications/Experience*

Are you a certified Range Officer, Coach, Instructor or otherwise qualified?*

Specific Qualifications

Club Affiliation

Date Qualified

If you are Holster Certified, please enter the details below:

Club Affiliation

Date Qualified

Family Members

Record the names of family members below: Click the plus to add more

Names

Birthdate of Children 17 years of age and under (dd/mm/yyyy).

Haliburton County Marksmen Club
Membership Application

Electronic Application

Haliburton County Marksmen Club Membership Application

Electronic Application

Haliburton County Marksmen Club
Membership Application