Please fill out all required fields
Name of Junior Membership Applicant
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Street
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City
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State
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Zipcode
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Phone Number
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Email
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DOB
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*I affirm that the applicant is 16 years of age or older
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Please check the box below to select Student for a Day
**Student for a Day Junior Membership ($10 USD)
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What is the Date of the Shoot you participated in?
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I hereby attest that neither I nor the Junior Membership Applicant are subject to any state or federal legal restriction that prevents us from lawfully possessing firearms.
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I hereby attest that I am the lawful parent or guardian of the Junior Membership Applicant
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Signature of Parent or Guardian
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Today's Date
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