FORT LAUDERDALE ARCHERS 

MEMBERSHIP APPLICATION
(Please Print Form / Fill Out Information / Mail With Payment to Address Below)

RIGHT CLICK YOUR MOUSE TO PRINT PAGE
 

Date:  ____________________                         NEW:  ______________  RENEWAL: _____________

Name: _________________________________________________   Phone: _______________________

Address: ____________________________________________ Cell: ______________________________

City: ____________________State:  _______ Zip: _________ Email:______________________________
 

________________________________________
MEMBER
(All new members & any member that is not a Participating Member))    
________________________________________

$252.00

PARTICIPATING  MEMBER (Any member that has attended at least 5 work parties & 2 club shoots in the last 12 months)    
________________________________________

$192.00  

STUDENT MEMBER (Full time student, must work at least 3 work parties a year)                   
________________________________________

$  72.00



Check or Money Order
  -  Please do not send cash       Total Amount Enclosed:
   

$ _____________________   

List additional eligible family members (Name/Age/Relationship): _________________________________________________________________________________________


By signing below you are acknowledging that you have been given a brief tour and/or an explanation of the basic rules and regulations of the Fort Lauderdale Archers Club, that you have filled out the application in its entirety and have paid in full the dues indicated above.  You are also acknowledging that Broadheads are only shot in the Broadhead Area.  I authorize the use and reproduction of any and all photographs taken of me at the Club, Club Function or Archery Shoot in a negative, positive or digital form, by the Fort Lauderdale Archers for any purpose whatsoever without compensation to me.

 
 New Archer’s Signature:
 ___________________________________________________________

(If Minor) Guardian’s Signature: ______________________________________________
(If Minor) Age: ___________  

MAKE CHECKS PAYABLE TO:  FT. LAUDERDALE ARCHERS
 

Mail To:  SARAH GILLIARD
                              
5197 SW 26th AVENUE
                                           FORT LAUDERDALE, FL 33312


Check Club News at www.fortlauderdalearchers.com

Club Email:  fortlauderdalearchers@gmail.com