Application for Guest Pass Daily Guest Pass Application Date * First Name * Last Name * Address * City * US States * - Select State - 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 Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip * Ranges Uses * Trap Rifle Pistol 25 Pistol 15 HTML Release: I, for myself, my heirs, successors and executors agree to release Fleetwood Fish and Game Association, Inc., it’s officers, trustees, members and volunteers from any and all liability and claims which may result, or are in any association, with my use of the Fleetwood Fish and Game Association, Inc. facilities and its property. By my signature(s) below, I further agree and accept all the terms of this agreement, agree to follow all firearm safety rules, take responsibility for any minor(s) or guest(s) accompanying me. I further agree this Waiver and Release of Liability form shall remain in effect indefinitely.As a guest of the above Fleetwood Fish And Game Association member, I am certifying that I have read the posted range rules and agree to fully abide by them.Both the member and guest(s) must complete form(s) entirely and the $10 daily fee per guest must be paid before the guest uses the range. The guest(s) shall not use the range before this form and payment are deposited in the guest pass box located on the clubhouse porch or…if purchased on the website, until in possession of a receipt showing that authorized payment has been received. Violation Will Result In Immediate Loss Of Membership Checking this box will serve as my signature and agreement to the above terms. * Member Card Number (Required) * Member Signature * Checking this box will serve as my signature and agreement to the above terms. * Guest Signature * If you are a human seeing this field, please leave it empty.