KISHWAUKEE ARCHERS INC.
                     P.O. BOX 495
           SYCAMORE, IL. 60178

New MEMBERSHIP and Renewal APPLICATION

Name_____________________________________________________________________________

Occupation________________________________________________________________________

Address____________________________________________________________________

Phone_____________________________Email__________________________________

Skills which may be useful to the club____________________________________________

Name of spouse and/or children included in the family membership_____________________________________________________

Are you a member of the National Field Archery Assoc.?  ___yes   ___no

Are you a member of other archery association/club(s)?  ___yes  ___no

Indicate which type of MEMBERSHIP CLASSIFICATION  you are applying for (below) and include the appropriate cash or check, payable to Kishwaukee Archers 

 ____Family (working)  $85 (dues) + 4 work hours + $100 (one-time initiation fee*) = $185

 ____Family (non-working)  $145 (dues) + $100 (one-time initiation fee*) = $245

 ____Student (minor or full-time student up to age 23)  $30 (dues)

 ____Renewal (working) $85 + 4 hrs.____Renewal (Non-working) $145. ____Renewal (student)  $30,  ____Honorary Lifetimer

* = for continuous un-interrupted membership

NOTE: Annual membership runs from April 1 to March 31 each year.  Applicants joining after December 31 will pay a prorated amount of dues plus full initiation amount.

I understand that all new members will be contacted and must attend an orientation program.  All members must comply with the club rules.  Failure to do so may result in loss of membership.  I understand that the club provides no personal liability insurance to individual members on club property, and give my permission to provide any of the information contained on this application form to other club members.

Applicant Signature_________________________________________   Date__________

Parent/guardian Signature (if under 18) ___________________________ Date__________

Sponsor’s Signature__________________________________________Date__________

Amount Received____________  By_____________________________Date_________

 

 (TURN OVER – APPLICANT MUST COMPLETE BACK OF FORM)

 

 

 

                       

  PLEASE NOTE THE FOLLOWING: 

 

1.      Each applicant must be sponsored by a current club member.

2.      Application form and appropriate fees can only be given to current Officers of Kishwaukee Archers, Inc. or mailed to:

Kishwaukee Archers Inc., PO box 495 , Sycamore, IL 60178

3.     It is each member’s responsibility to follow the Constitution, By-Laws and Range Rules for  Kishwaukee Archers, which are available over the Internet at kishwaukeearchers.org

4.     Applicants selecting a working membership must complete their work hours prior to March, 31 of each year.  Failure to complete the required hours will push the applicant into the higher dues amount for a non-working member for the following year.

5.    Applicants selecting a working membership must number (below) their top five (5) choices (number 1 = top choice and so on) as to how they would like to participate.  First come first choices honored.  If left blank members will get assigned.

____Grounds Maintenance                               ____Indoor Cleaning

____Building Maintenance                               ____Kitchen/Concession

____Outdoor Range                                           ____Indoor 3D Championship Shoots

____Outdoor 3D Shoots                                   ____Indoor Adult Target League

____Firewood cut/stack/sale                           ____3D Hunter’s League

____Legal/Administrative                               ____New Member Orientation

____Work Hour Coordinators                        ____ Website/WebMaster

____Special Projects                                        ____Misc. (other – please specify below)

(approved by Board of Officers)

 Indicate also if you would like an Officer/Board position in future______________________.

 Demographics Survey!  Please indicate the number shooters/hunters on your membership in the following categories:

Age group 5-12________, 13-17_________, 18-up_________,

also # of: Bow hunters_____,Outdoor.3D_____, Indoor.3D_____,Indoor Paper______, Outdoor Paper_____,

Other:____________________________.  Note exact age in age group if you like.  Thanks.     

 For more information, call Caz Brewer (President) at (630) 851-6640 or Curt Thompson (Vice-President) at 815-895-7811.