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For people interested in applying for a new membership at Sumner Sportsmen's Association, please print this page and mail payment to SSA, PO Box 988, Sumner, WA 98390.
Sumner Sportsmen’s Association (SSA) PO Box 988 Sumner, WA 98390
APPLICATION FOR MEMBERSHIP MEMBERSHIP RENEWAL Annual dues (July 1st through June 30th) $75.00—Make check payable to SSA (Includes the $25 Initiation Fee) $50 yearly Dues--$40 if over 65 years of age
Please Print Clearly Date:_________________ Membership year: __________________ Membership Type (Check one): ______Individual ____ Family (children up to 18 years) Please note: Only one vote per paid membership. Name (Last, First): ____________________________________________________ Address: _____________________________________________________________ City: ___________________________________________ Zip Code: ____________ Phone Number: (_____) ________________________ Email Address: ________________________________ NRA Membership: ______No ________Yes-Member Number: _____________ Shooting Interests: (Check all that apply) _____ Sporting Clays _____ Continental _____ Trap _____ Meat Shooting _____ 5-Stand _____ Hunting (Practice) Member Occupation: _________________________________________________ Sponsor/ Referring Member: __________________________________________
Please check the committees which you would be willing to volunteer your service: _____ Publicity _____ Grounds Maintenance _____ Membership _____ Work Parties _____ Newsletter _____ Special Shoots _____ Shooting Instruction _____ Other EACH MEMBER (INDIVIDUAL OR FAMILY) MUST READ AND SIGN THE FOLLOWING: I understand that Sumner Sportsmen’s Association (SSA) is a volunteer, non-profit organization. I agree to participate in the club operation by donating my services when I can each membership year. I also agree to abide by the club bylaws and rules. While SSA has taken reasonable steps to provide an approved and safe shotgun range for my enjoyment, I am aware that these activities are not without risk. Some possible risks include accidental injury due to misuse of a firearm, accidental injury due to slip and falls, and/or property damage due to varied terrain and possible weather conditions, etc. I am aware that shotgun sports entail risk of injury or death. I understand that this description of these risks is not complete and that other unforeseen or unanticipated risks may result in injury or death. I agree to assume responsibility for the risks described as well as those not specifically identified. I also agree to observe and practice the safety rules of SSA. My participation in these activities is voluntary and I elect to participate with knowledge that known and unknown risks exist. I certify that I am capable of participating in the activities held at SSA. I therefore assume full responsibility for myself, my personal guests, and/or my minor children for bodily injury or death. I also accept full responsibility for loss or damage of personal property and expenses resulting from my participation in these activities. NAME (Printed):____________________________________________________ Signature: _______________________________________________________
NAME (Printed):____________________________________________________ Signature: _______________________________________________________
NAME (Printed):____________________________________________________ Signature: _______________________________________________________
NAME (Printed):____________________________________________________ Signature: _______________________________________________________
Office use: Date Paid __________________ Amount___________ Check No. ________Cash______
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Sumner Sportsmen's
Association, Inc. The Home of the Large Slow Bird!
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Sumner
Sportsmen's Association
