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Application for Mid-Week Participation Recognition

Application Date: / /2 0 _ _

Melton Pistol Club Inc.

Committee of Management,

The following members of the Melton Pistol Club make application to participate in club approved shoots1 on the following day of the week.

Circle the day of the week and the time (AM or PM) for the day you are requesting.

        Sunday     Monday     Tuesday     Wednesday     Thursday     Friday

           AM              AM              AM                AM                    AM              AM

           PM               PM              PM                 PM                    PM               PM

Note:

    1. The members listed below are agreeing that they wish to participate in club shoots on the 

        day/time circled above.

 

    2. They also acknowledge that at least two of the nominated members must participate on the nominated

        day/time before the club shoot will be acknowledged by both the club and LSD.

 

    3. Club rules, specifically relating to safety, will be adhered to at all times.

       Member 1:    Name:

                            Signature:

                            Handgun Licence No.:

       Member 2:    Name:

                            Signature:

                            Handgun Licence No.:

       Member 3:    Name:

                            Signature:

                            Handgun Licence No.:

 

     Committee decision on (date):

     Approved/Not Approved by Club Captain:

     Name: .............................................

     Signed……..............................                  

This application is to be filed with the club secretary.

1 Scores do not count towards club trophies.