Brookby Archery Club - Members External to APC

Brookby Archery Club

This is the membership application form to use for new joining members of BAC who are not already members of Auckland Pistol Club.

I am completing this form on behalf of:

1. Myself

2. A youth member, under the age of 18 years who I am the parent or guardian of and who's conduct on the range I will be responsible for

If you chose Option 2, above (you are completing this form for someone else, a youth) then please put your own name in this box (so I know who you are) then go on to complete the rest of the form for the other person. Otherwise skip this question box and go on to complete the rest of the form for yourself, as yourself (start with the First Name question box.)

First Name

Last Name

Name or Nickname you prefer to be called.

Date of Birth

YYYY

Email Address Primary
(Please check it is correct. This is the address that will receive an automatic reply after submitting this form)

Phone Number Mobile

Other Phone Number Landline etc...

Postal Address (please include your postcode)

Occupation (and/or any relevant practical skills)

Please select

Now for some Red Tape: Auckland Pistol Club allows BAC members access to it's facilities however it requires a high degree of security to protect the interests and security of it's existing members and firearms license holders.

File upload: Please upload a clear readable photograph or scan of at least one form of government recognised photo ID, ie: Drivers License, 18+ Card, Firearms License, Passport.

Delete all uploads

Choose files or drag here

Please upload a clear passport style photograph that can be used to print onto your club ID card.

Delete all uploads

Choose files or drag here

Please select

Drivers License Number

Extras: If you have a Firearms License please enter your firearms license number here.

Extras: Enter your firearms license expiry date.

YYYY

Comments Box: You can use this box for any additional comments, suggestions or questions to go with your application. I would appreciate any suggestions that could help this membership form work even better. You can also write by email to secretary@pistolclub.org.nz Many thanks for your membership application!! You should receive an automatic reply acknowledging your submission shortly after submitting this form.