Membership Application

Application Details

First Name*
*Required field
Last Name*
*Required field
Email*
*Required field
Confirm Email*
*Required field
Phone*
*Required field
Street Address*
*Required field
Address Line 2
*Required field
City*
*Required field
State*

Zip Code*
*Required field
*Required field

Empolyer
*Required field
Occupation
*Required field
List other club memberships
*Required field
Indicate Interests*










If you answered yes for any of the above questions, please explain.

If you answered yes for the above question, please let us know what areas you are prepared to participate in and how you can assist the club.

NRA Membership

Members are required to retain an active NRA membership.

NRA Number*
*Required field

Club Sponsors

You are required to have 2 sponsors from current club members in good standing condition. Please indicate your sponsors' information below.

Sponsor 1 Name*
*Required field
Member*
*Required field
Member Phone #*
*Required field

Years Known*


Comments*
*Required field
Sponsor 2 Name*
*Required field
Member*
*Required field
Member Phone #*
*Required field

Years Known*


Comments*
*Required field

Monthly Meetings

You will be required to attend one of two consecutive monthly regular club meetings at which time your application will be read and you will be introduced to the membership. It is also mandatory that you attend a club safety / orientation meeting before you receive your club credentials. Club meetings are held at 8:00 PM on the second Thursday of each month at the Clubhouse on Gibson Hill Road in Chester, New York.

Dues & Initiation Fees

The membership year runs from 1/1 to 12/31. Dues and fees are due in the month of January. Dues are paid electronically via credit card using a secure server. There will be a late fee of $30 if dues are paid after Feb 1st and another $70 fee if not paid by Feb 15th. Your membership will be terminated if dues are not paid by Mar 1st.

There is an initiation fee of $600.00.

Note: Regular members must donate 5 hours of work each year, or pay a $30.00/hour fee for each hour not worked.

The pheasant preserve is an additional yearly fee.

There are three (3) options for paying the initiation fee. Please check one.
*Note* Initiation payment is not due now.


If a preserve badge is requested, an addition fee is added. Dues and preserve fees are adjusted annually and may be changed as needed.

Application Fee - $50

The cost of the application is $50 which you are required to pay on the next screen. You will receive an email with your transaction # and application # and will be contacted as we get closer to your application review.