Grand Blanc Huntsman’s Club, Inc. Membership Application 

P.O. Box 828  Grand Blanc, MI 48480-0828   Located at 9046 Irish Rd    810-636-7261      www.gbhuntsmans.com

(Please Print Clearly)

Name_________________________________________ Phone H (       )__________________

Address _______________________________________Phone W (      )__________________

           ________________________________________Phone Cell (      )_________________

City     _____________________________________State ________Zip__________________

Occupation  ________________________e-mail_____________________________________

Spouse Name ___________________Children___________________Birthdate_____________

Skills or business connection that might benefit the club________________________________

Willing to assist/participate on committees or Board of Directors________________________

Interests:    Conservation_____ Pistol _____    Rifle _____    Skeet______

         Sporting Clays_____   Trap  _____   Other______________________________________

Memberships: NRA_____ (Member #___________)  ATA ______   MSA _____ MTA _____

I hereby apply for membership in the Grand Blank Huntsman’s Club, Inc. I agree to abide by the constitution and Bylaws of the Club, by all rules set forth by the Board of Directions, by federal and state firearms, hunting, and fishing laws, and by the association rules for the sports in which I participate.

I certify that I am over 18 years of age and have no criminal record. I further certify that I am not a member of any organization that includes in its program the effort to overthrow the Government of the United States of America.

Signature of Applicant: _______________________________________________Date______

Note: A new member must attend a regular meeting, or have application signed by three Board members,

before the application can be submitted to the general membership and the Board of Directors for approval.

Sponsor: (print)_____________________Signature:_________________________ Date______

Club Membership Rates: (Membership year is August 1 - July 31)

Note: Initial annual membership cost will be prorated by the month.

Initiation Fee---------------------------------------------------------------$50.00      $__50.00_____

Annual Membership ----------------------------------------------------- $100.00    $___________

(Club use only)

Amount $  ________ Rec’d by____________________ Date ____________Check # ________

Board Signatures:

X _______________________ X______________________X______________________________     

Board  Approval  Date: _____________           Membership Approval Date: _______________

Assigned Member #      _____________

Mailed Membership Card and copy of Constitution- Date: __________________

Rev. 07-18-06  DES     

GRAND BLANC HUNTSMAN’S CLUB, INC.

P.O. BOX 828

GRAND BLANC, MI 48480-0828

Located at 9046 Irish Road      www.gbhuntsmans.com          Phone: (810) 636-7261

AGREEMENT REGARDING RISKS

            I apply to use and enjoy the privileges, facilities and activities on the premises of the Grand Blanc Huntsman’s Club, Inc.  I understand that my participation in activities such as skeet shooting, sporting clays shooting, five stand shooting, trap shooting, and rifle and pistol shooting will expose me to above normal risks.  I represent that I have no health or physical problems that will interfere with or cause risk to myself or others from participation in these activities.

            In consideration of being given the opportunity to participate in the above activities:

1.     I assume and accept all risks of injury, recognizing the dangers involved in these activities.

2.     I agree that I am responsible for my own safety.

3.     I release and agree not to sue the Club’s owner, its directors, managers, employees, agents, or anyone connected with them for any claim, damages, costs or causes of action which I have or may have in the future as the result of injuries or damages sustained or incurred while engaged in activities except if caused by their willful and wanton misconduct.

4.     I agree that if the Club’s owner, its directors, managers, employees, agents, or anyone connected with them are sued by anyone else, including my spouse and/or children, because of my participation in any activity, I shall indemnify the owner, directors, employees, agents, or anyone connected with them for all damages and costs.

Print Name _____________________________________

Signed _________________________________________       Date _________________

REV. 03-10-2006 TVS