Registration Form

 

 


Name:                                                              I would like to bring:  Shotgun                  _____________________     

 

Address:                                                          (Please state make, model, ga. of above)        

 

                                                                                                            

 

Date of Birth:                                                  

 

Phone:                                                             I have:             never shot before

 

Email:                                                                                      some shooting experience

 

Explain shooting experience:                                                                                ______________________                  

 

                                                                                                                             _________________________                   

 


On a scale of 0-5, with 0 indicating no interest and 5 indicating very high interest, please

Indicate your interest in becoming a member of the Victor Rod and Gun Club ________.