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 ________.