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Home
About
About
Bylaws
Club Leadership
Personal Conduct
Range and Club Rules
Range Safety Committee
Events & Programs
Action Shooting
Archery
Chronograph Events
Highpower Rifle
Highpower Rifle
ECCL Highpower Scores
Highpower Procedures
Travel Series
Junior Rifle
NRL22
Rimfire Steel Challenge
Trap and Skeet
Women's Programs
.22 LR Benchrest
300 Yard Match
2024 Youth Field Day
Marie Casper
Revere's Riders
Forms
Cart Barn Use
Liability Waiver Form
Lost Badge
Steel Range Use
News
News Releases
Contacts
General Inquiries
Range Safety Committee
Calendar
Education
ECCL RSO Program Process
Special Recognitions
Maxton Soviak Memorial Bench
Member Login
Mobile menu
New Member Application
Please complete all areas for processing.
Only one person per application
.
If you would like to add an associate or junior,
they must fill out a separate application
. Applicants accepted for membership must attend a safety orientation to complete processing and become a member. Your safety orientation will generally be held the Saturday after the monthly general meeting. General Meetings are held the 1st Thursday of each month at 7 pm. New members will receive an email of application acceptance including an invitation to attend the next general members meeting and details about the safety orientation. A valid Driver's License must be presented upon registration for the Safety Orientation session. Juniors must be accompanied by parent, grandparent or guardian.
REQUIRED
:
All new member applications must be paid in full prior to the orientation class. No cash please, the online credit card payment link can be found after submitting your application.
Each section of this application must be completed in full
All applications must have a current club member sponsor. Sponsors must be in good standing with
no less than 1-year active senior, associate or life membership.
Sponsoring member
MUST
provide Membership ID number.
MEMBERSHIP LEVEL OPTIONS
Senior Member
(A Senior member shall be an adult age 19 or older whose initial application has been sponsored by another Senior, Life, or Associate Member)
January through June - $150.00 application fee plus $125.00 annual membership dues = $275.00
July through October - $75.00 application fee plus $125.00 annual membership dues = $200.00
November, December and March - No new members are accepted.
Associate Member
(A spouse/significant other of a current Senior or Life Member age 19 or older)
January through October - $75.00 application fee plus $50.00 annual membership dues = $125.00
November, December and March - No new members are accepted.
Junior Member
(A Junior Member shall be a person
under 19 years of age
whose application has been sponsored by a Senior,
Life, or Associate Member.)
January through October - $10.00 application fee, plus $5.00 annual membership dues = $15.00
OPTIONAL PURCHASES
The following are optional purchases that can be added to your payment
now or after your Orientation
. If you choose to wait until your Orientation Session you may complete the forms and pay by Personal Check following the session. No cash please.
Cart Usage Fee - $20.00 per year
Steel Range Use* - $25.00 per year
* Requires additional safety orientation that is provided following the New Member Orientation Session. NO Guests or Junior Members are allowed on the Steel Range at this time.
*
- Required Field
First Name *
Last Name *
Email *
Address *
Address 2
City *
State *
Select an Option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland/Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Puerto Rico
American Samoa
Federated States of Micronesia
Virgin Islands
International - N/A
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip *
Please choose only one from the list below, the level of membership you are applying for: *
-- No Selection --
Senior
Associate
Junior
Choose 1
Sponsor Name: *
Sponsor Membership Number: *
OPTION FOR JUNIOR MEMBERS
Signature PARENT / GUARDIAN WAIVER FOR JUNIOR APPLICANTS: The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in membership of the ECCL, and has agreed individually and on behalf of the child or ward, to the terms of the Declarations and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties, because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the Parents or legal guardian.
Select all that apply
Parent name
Guardian name:
Occupation:
Retired? *
Yes
No
Do you own a firearm *
-- No Selection --
Yes
No
Choose 1
How many years *
max: 100
Military experience:
Certificates of completion:
Please specify participant:
Waterfowl: *
Yes
No
Target *
Yes
No
Competition *
Yes
No
Hunter *
Yes
No
Are you a member of another Conservation or Shooting Club? *
Yes
No
ON REVIEW OF THIS APPLICATION, IF YOU HAVE NO FIREARM EXPERIENCE OR ARE A BEGINNER, YOU WILL BE REQUIRED TO COMPLETE A FIREARM SAFETY COURSE WITH A QUALIFIED INSTRUCTOR AND PRESENT PROOF OF COMPLETION OF A QUALIFIED FIREARM SAFETY COURSE WITH THIS APPLICATION
.
-- No Selection --
I agree
I do not agree.
Choose 1
DECLARATION AND LIABILITY HISTORY DECLARATION REGUARDING MATERIAL ASSISTANCE / NONASSISTANCE TO A TERROIST ORGANIZATION
Any answer of “yes” to any question, or the failure to answer “no” to any question on this declaration shall serve as a disclosure that material assistance to an organization identified on the U.S. Department of State Terrorist Exclusion List has been provided. Failure to disclose the provision of material assistance to such an organization or knowingly making false statements regarding material assistance to such an organization is a felony of the fifth degree. For the purposes of this declaration, “material support or resources” means currency, payment instruments, other financial securities, funds, transfer of funds, and financial services that are in excess of one hundred dollars, as well as communications, lodging, training, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.
In accordance with section 2909.32 (A)(2)(b) of the Ohio Revised Code for each question, choosing "yes" or "no" to these answers is the same as writing your initials.
***RESPONSES MUST BE TRUTHFUL
.
Are you a member of an organization on the U.S. Department of State Terrorist Exclusion List?
*
Yes
No
Have you used any position of prominence you have with any country to persuade others to support an organization on the U.S. Department of State Terrorist Exclusion List?
*
Yes
No
Have you knowingly solicited funds or other things of value for an organization on the U.S. Department of State Terrorist Exclusion List?
*
Yes
No
Have you solicited any individual for membership in an organization on the U.S. Department of State Terrorist Exclusion List?
*
Yes
No
Have you committed an act that you know, or reasonably should have known, affords "material support or resources" to an organization on the U.S. Department of State Terrorist Exclusion List?
*
Yes
No
Have you hired or compensated a person you knew to be a member of an organization on the U.S. Department of State Terrorist Exclusion List, or a person you knew to be engaged in planning, assisting, or carrying out an act of terrorism?
*
Yes
No
DECLARATION OF CRIMINAL HISTORY
I affirm that I have not been convicted of, plead guilty to, had a judicial finding of guilt for, or had a judicial finding of eligibility for treatment and/or intervention in lieu of conviction for, any other felony or misdemeanor that would cause me to be under a disability to own or have control of a firearm. I attest that all information provided is true and accurate. Any false statement will be grounds for denial, suspension, revocation or other disciplinary action taken by the Erie County Conservation League.
-- No Selection --
I agree.
I do not agree.
Choose 1
RELEASE OF LIABILITY
In consideration of my application and permitting me to participate in all activities on the Erie County Conservation League Inc. I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to, THE FOLLOWING ENTITIES OR PERSONS: (ECCL) officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event volunteers; (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise. I acknowledge that the (ECCL) and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of the (ECCL) I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event. I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the Maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DECLARATION/LIABILITY OF THIS APPLICATION AND I UNDERSTAND IT’S CONTENT AND MY ANSWERS ARE TO BE TRUE. I SIGN IT AT MY OWN FREE WILL.
*
Yes
No
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