Shortsville Membership Application Form

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Shortsville Rod and Gun Club Membership Application

 

NEW/RENEWAL 2026

 

DATE:                                       

APPLICANT  (Print Clearly)                                     WHOM TO NOTIFY IN EMERGENCY

 

NAME:                                                                       NAME:

 

ADDRESS:                                                                ADDRESS:

 

CITY:                                                                          CITY:

 

STATE:                       ZIP:                                         STATE:                       ZIP:

 

PHONE:                                                                     PHONE:

 

E-Mail Address:

License Plate(s) #:

_________________________________________________________________________________________

 

                                                INTERESTS

 

       TRAP SHOOTING                                                        SKEET SHOOTING                   

PISTOL/RIFLE SHOOTING                                    COWBOY ACTION SHOOTING

_____________________________________________________________________________

 

VOLUNTEERS ARE IMPORTANT TO A CLUB’S SUCCESS.  I WOULD BE WILLING TO HELP OUT IN THE FOLLOWING AREAS.  CIRCLE ALL THAT APPLY.

 

CLUB OFFICER                   BUILDING/GROUNDS         OTHER(SPECIFY)   

CLUB DIRECTOR                KITCHEN                              SPORTSMAN EDUCATION      

FIELD/RANGE                     LAWN MOWING                                                               

 

_____________SHOW YOUR SUPPORT BY JOINING SCOPE/NRA_____________            __

 

CLUB MEETINGS ARE HELD THE 1ST. WEDNESDAY OF EACH MONTH AT THE CLUB HOUSE ON FRESHOUR RD., SHORTSVILLE, NY AT 7:00 PM.   MEMBERSHIP APPLICATIONS ARE VOTED FOR ACCEPTANCE AT THIS TIME.  MEMBERSHIP INCLUDES IMMEDIATE FAMILY (SPOUSE AND ALL CHILDERN UP TO THE AGE OF 18, AND 22 IF ATTENDING COLLEGE OR IN THE MILITARY). 
MEMBERSHIP YEAR RUNS FROM JAN. 1ST TO DEC. 31ST.  MEMBERSHIP FEE IS $60, THE FIRST YEAR INCLUDING SENIORS.  RENEWAL FEE IS $50, AND SENIORS AGE 62 AND OLDER IS $35. 
IF APPLYING AFTER SEPT. 1ST, DUES ARE $10 PLUS $5 PER REMAINING MONTHS ALONG WITH THE NEXT YEAR RENEWAL DUES.
DUES MUST BE PAID BY 2/28 FOR THE NEW YEAR

A COMPLETED APPLICATION IS NECESSARY FOR NEW AND RENEWAL MEMBERSHIP, ACCOMPANIED BY CHECK OR CASH.  

APPLICATIONS MAY BE BROUGHT TO A MEETING OR MAILED TO:
SHORTSVILLE ROD AND GUN CLUB, PO BOX 298, SHORTSVILLE, NY 14548.

 

 

Shortsville Rod & Gun Club Shooting & Hunting Rules

 

ANYONE CAUGHT PURPOSELY DAMAGING CLUB PROPERTY WILL HAVE THEIR MEMBERSHIP IMMEDIATELY EVOKED AND MAY FACE PROSECUTION

 

Rifle & Pistol Range

  1. You must be a card-carrying member of Shortsville Rod & Gun Club to use this range.
  2. No alcohol on range while shooting.
  3. Range opened daily, 9am – until dusk – except during scheduled club events (Long Rider Shoot, Trap Shoot, Skeet Shoot, etc.)
  4. Firearms carried to and from the firing lane shall have their actions open and pointed in a safe direction.
  5. Loaded firearms to always be pointed down range.
  6. Firearms will not be handled when anyone is forward of the firing line.
  7. Pickup all empty brass and shotgun hulls.
  8. If you take it out, put it away.

 

Trap & Skeet Range

  1. No alcohol on range while shooting.
  2. Firearms carried to and from the firing lane shall have their actions open and pointed in a safe direction.
  3. Loaded firearms to always be pointed down range.
  4. Shotguns shall be loaded with no more than 2 rounds.
  5. Firearms will not be handled when anyone is forward of the firing line.

 

Hunting

  1. Duck hunting on East side of outlet only.
  2. No permanent tree stands, or duck blinds allowed.
  3. No trimming of foliage or cutting down trees.
  4. No hunting for new members joining club after September 1st.
  5. The “Hunter Out Back” sign must be put up when going out back to hunt and taken down upon returning.
  6. Members while hunting must respect the property rights of all club neighbors.
  7. Members convicted of hunting violations committed on Shortsville Rod & Gun Club property will be permanently banned from club membership.