Check box if a certified NYS instructor:

Check box if a certified NRA instructor:

Reason(s) for joining Fish House Fish & Game Club (Check all that apply):

Are you interested in any organized activities or leagues:

Applicants require one (1) sponsor, who must be a member in good standing of FHFGC for at least one (1) year.
For the sponsor: I know the applicant and vouch that they are of good moral character and will respect and
abide by club rules. I will verbally endorse my recommendation. If the applicant is accepted into membership of
the Fish House Fish & Game Club, I agree to act as mentor.

Applicant: The above questions have been answered to the best of my knowledge. I will advise the Membership
Chairman of any changes of information on this form. I accept that any false answers to statements made upon
this application may be grounds for immediate expulsion from the Fish House Fish & Game Club.
I agree that if accepted for membership, I will abide by the FHFGC Bylaws and Rules of the club, including
signing a liability waiver (as required by FHFGC liability insurance). I certify that I am a citizen of the United
States of America.

Applicant and Sponsor must be present when application is brought to a General Meeting (1st Tuesday of the
month). You will be asked to stand up and be introduced by your sponsor to the members present.
A $50 non-refundable Application Fee must accompany this form. Juniors (under 16) application fee is $5.
All applicants must complete a new member orientation, and pay $75 membership dues (no cash, checks made
payable to Fish House Fish & Game Club), to receive a key card. (No dues for Junior members.)