TRI-STATE SHOOTING PARK

ARIZONA'S NEWEST RECREATIONAL GUN RANGE

Tri State Shooting Park

Tri-State Shooting Park is now open to the public between 8 A.M. and noon on Thursday, Saturday and Sunday including 200 yard rifle range, 50 yard pistol range and trap and skeet. Members will be given the combination to the lock on the front gate so they will have access any day they want to shoot between sunrise and sunset. The trap and skeet ranges will not be open except on public days unless qualified personnel are present. The range is located at the 7 mile marker on Boundary Cone Rd. on the way to Oatman.
For questions call 702-371-1532 or 928-704-0274 (land line). Membership includes self, spouse and children 18 or under.

Please complete this form and mail it to the address below or submit it in person at the range office or at the next meeting.

TRI-STATE SHOOTING PARK, INC.
P.O. BOX  8353 FT. MOHAVE,  AZ 86427

MEMBERSHIP APPLICATION (Please Print)

New Member Renewal
Name
FirstMILast
Address
City State Zip
Phone Email
ANNUAL MEMBERSHIP FEE:  Per Calendar Year $60.00
Includes self, spouse and any children under 18
Circle Your Interest: PISTOLRIFLECLAY TARGET SHOTGUNARCHERY
Volunteer Interest:
RANGE SAFETY OFFICERYOUTH ACTIVITIES WORK PARTIESADMIN & EVENTS NONE

I have read and agree to abide by all Range Rules. I understand that gross safety violations or failure of myself and/or family members or guests to follow the Range Rules or the Range Safety Officer's directions may result in immediate expulsion from the Range and/or cancellation of membership without refund.

When there is no Range Safety Officer present, I agree to cooperate with any other members using the range to ensure a safe shooting environment is maintained at all times.

I fully understand that there is a potential personal risk involved in the use and handling of firearms, and I assume all personal risk of property damage, bodily injury or death, which may occur as a result of my participation in this activity.

I agree to hold blameless and do hereby indemnify, waive and release from all liability Tri-State Shooting Park, Inc., their partners, agents, participants or volunteers for all risks, damages, injuries or death occasioned by my participation in any activities on the grounds or Range.

I am not prohibited by any Federal, State or local law from owning, possessing or operating firearms.

     
Member Applicant    Date
Membership Approval Contingent upon the Board of Directors.
Organizational Use Only: Membership Number  
Cash Check # Amount $