APPLICATION TO SHOOT ON A GUEST DAY

Note that the minimum age for this activity is 14 years.

For Introductory Days complete this form and send with a cheque payable to "S.C.S.R.C." for £15
to:     Kevin Hime-Knowles
         ’The Willows’
        Hilley Field Lane,
        Fetcham,
        Leatherhead,
        Surrey       KT22 9UX
 

(Please complete all sections in BLOCK CAPITALS)

DATE APPLIED FOR:

FULL Name:

Address:    Post Code:....................................

Telephone No.:

e-mail:

Date of Birth:

Unit/Group:

Scout County:

Explorer Scout / Network Member /Ranger Guide / Leader / Other (please specify)    Delete as applicable

Have you ever had an application for a Firearms or Shotgun Certificate refused by the police, or had a certificate revoked?  Yes/No    If Yes please provide details:

Have you ever been granted a custodial sentence by any Court?:     Yes/No    If Yes please provide details:

I am eligible for membership and agree to be bound by the rules of the Club.    Signature:                                                                         Date:

Countersigned by GSL/DESC/Leader In Charge:    Print Name and Position:

(if under 18 years of age): Parent/Guardian Name: ………………………………………………………….…………...    I confirm that the above is true and I give my permission for the above named to take part in the target shooting activities of Surrey County Scout Rifle Club.    Signature:                                                                         Date:

When you come to Bisley we will need to confirm your identity.    Bring with you some form of photo ID (such as your Passport or Driving Licence) and (for Leaders) your Scout or Guide Association Appointment Card.   Leaders present in person may vouch for the identity of young people in their party.

TO BE COMPLETED BY S.C.S.R.C.                         DATE OF GUEST DAY: …………………………   ID Checked by Officer of SCSRC:                          Signature: …………………………

 

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