When accepted, members must attend an orientation so that they may become familiar with the facility and club safety rules and procedures. This is required so that we are sure you are safe and also so that you can take full advantage of the facilities...

(Please print first, middle initial & last name) 
Street 
Bldg #/ Apt #      City      State    Zip Code 
Home Phone         Business Phone
E-Mail Address 
Date of Birth (mm/dd/yyyy)          American Citizen

NRA Status:  Annual      Life      Endowment      Patron      Benefactor      Not 
NRA Identification No.  (from membership card) 
NRA Classifications (list) 
NRA Instructor's Rating 
Other Sanctioned Competition 
Firearms Safety Training 
Handgun Orientation 
Other Qualifications 

Initiation Fees (Associate or Family) ---------- $125.00
Annual Dues (Associate / Family) ----- $55.00 / $80.00

See prorated dues schedule for new members on part 2 of this form. 
PAYMENT MUST BE ENCLOSED WITH APPLICATION: 

Which type of membership are you applying for?  Associate      Family 
Make check payable to:  Colorado Rifle Club, Inc. 
Amount enclosed (Initiation fee + prorated annual dues)

Check if you want the newsletter mailed to your home address (The newsletter is available on this website...)

Referred by (Name, address and phone) 


ARE YOU PROHIBITED BY ANY LOCAL, STATE OR FEDERAL BODY FROM OWNING A
FIREARM?  Yes No

________________________________________________________
(Signature of applicant)      Date: (mm/dd/yyyy)

Complete, sign (on the line, above), enclose check and return to: 

If you are applying for a family membership, please complete the following:     d.o.b. (mm/dd/yyyy)
  Spouse     Son      Daughter  
  Spouse     Son      Daughter  
  Spouse     Son      Daughter  

List your occupation and/or skills that may benefit the club (check all that apply)

List any other occupations/skills 

List other shooting clubs you belong to including offices held, programs you helped develop
and when: 

Other qualifications: 


Prorated Annual Dues at date of application for New Members:

We need a 'live' signature on this application, so we will not be accepting e-mailed forms.  Instead, please type in the relevant information or check off the appropriate response for each question, then click the "Validate" button to check for errors or omissions, then please print this form from your browser, sign it and mail it in with the appropriate payment.