New Membership Application SCARBOROUGH FISH AND GAME ASSOCIATION MEMBERSHIP APPLICATION Scarborough Fish and Game Assn. P.O. Box 952 Scarborough, ME 04070 (207) 885-0535 Applications filed between 9/1 and 3/31 Single $355.00 - With spouse/significant other $485.00 Applications filed between 4/1 and 8/31 Single $230.00 With spouse/significant other $297.50 Non-refundable $50 application fee is included APPLICATION REQUIREMENTS: Submission of completed application(s) and payment of the appropriate fee(s) (see above) to the Treasurer A Sponsor who has been an SF&GA member in good standing for one year (12 months) and has attended Orientation Attendance at a General Membership Meeting for First Reading Tour of Club facilities with Sponsor and receipt of a copy of the Safety Rules and Policies explained by Sponsor Shooting time at Club facilities with Sponsor Attendance with Sponsor at a scheduled Membership Committee Interview (Applicant may be asked to attend a Safety Class or spend additional time with a Range Safety Officer) Attendance at a scheduled Orientation (Attendance at the General Membership Meeting when Applicant expects to be voted in is recommended) 16-hour work requirement must be completed within the first 12 months to continue membership Type of Membership(Required)Between 9/1 and 3/31 Individual MembershipBetween 9/1 and 3/31 Joint Membership (with spouse / significant other)Name(Required) First name M.I. Last name M/FMaleFemalePhysical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (if different from above) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone(Required)Cell Phone(Required)Business PhoneEmail(Required) Birth Date(Required) MM slash DD slash YYYY Occupation(Required) U.S. Citizen?(Required)YesNoNRA Member?YesNoEver been convicted of a crime?(Required)YesNoPlease indicate your PRIMARY activity:(Required) Archery Pistol sports Rifle sports Shotgun sports Target shooting Youth Undeclared Do you have a membership sponsor?(Required)YesNoSponsor's Name First Last SPOUSE / SIGNIFICANT OTHER INFORMATION FOR JOINT APPLICATIONS ONLY:Name (spouse / significant other)(Required) First name M.I. Last name M/F (spouse / significant other)MaleFemaleCell Phone (spouse / significant other)(Required)Email (spouse / significant other)(Required) Birth Date (spouse / significant other)(Required) MM slash DD slash YYYY Occupation (spouse / significant other)(Required) U.S. Citizen? (spouse / significant other)(Required)YesNoNRA Member? (spouse / significant other)YesNoEver been convicted of a crime? (spouse / significant other)(Required)YesNoPlease indicate your PRIMARY activity (spouse / significant other):(Required) Archery Pistol sports Rifle sports Shotgun sports Target shooting Youth Undeclared Notes / CommentsIN CONSIDERATION OF THE SF&GA’S REVIEW OF THIS APPLICATION FOR MEMBERSHIP AND OF MEMBERSHIP, IF APPROVED, I AGREE AS FOLLOWS: I UNDERSTAND THAT SHOOTING IS AN INHERENTLY DANGEROUS SPORT. I HEREBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE ARISING OUT OF OR RELATED TO ANY ACTIVITY CONDUCTED ON OR NEAR THE PROPERTY OF SF&GA (THE “ACTIVITY”), WHETHER CAUSED BY THE NEGLIGENCE OF THE SF&GA, ITS OFFICERS, DIRECTORS, EMPLOYEES, MEMBERS, OR AGENTS (THE “RELEASEES”) OR OTHERWISE. I HEREBY RELEASE, WAIVE, AND DISCHARGE RELEASEES FROM, AND COVENANT NOT TO SUE RELEASEES FOR, ANY AND ALL LOSS OR DAMAGE AND ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY TO MY PERSON OR PROPERTY IN ANY WAY ARISING OUT OF OR RELATING TO ANY ACTIVITY. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. By completing this form, I agree to abide by the rules and by-laws of the Scarborough Fish and Game Association (SF&GA), as they may be amended from time to time, and will be a true sportsman at all times. I will exert every possible effort to improve hunting and fishing conditions within the State of Maine and New England. I will assist and encourage, in every possible way, the enforcement of all fish and game laws. I will foster the spirit of good fellowship at all times. I agree to participate actively in the affairs of SF&GA whenever called upon, to the best of my ability. I understand that any criminal conviction requires immediate notification to the SF&GA and will subject my application or membership to immediate review and appropriate action. Notification may be made to the SF&GA president or a club officer. We stress safe gun handling and good sportsmanship and want everyone to view this seriously Consent(Required) I agree to the terms of this membership agreement, as outline above.Digital Signature(Required) Digital Signature (spouse / significant other)(Required) CAPTCHAMembership Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name
