Gem City Gun Club
Gem City Gun Club
Range use request
Name of Organization: ___________________________________________________
Contact Person: _________________________________________________________
Telephone Number: ______________________________________________________
Mailing Address: ________________________________________________________
_________________________________________________________
_________________________________________________________
Billing Address if Different: ________________________________________________
________________________________________________
________________________________________________
Email Address: __________________________________________________________
Range Requested: R-8 (Rifle, Pistol, Shotgun, Automatic Firearms)
R7 Multi purpose Range
R-6 Handgun
R-5 Handgun
R-4 Handgun
R-3 Indoor Range
R-3 Indoor Range And Class Room
R-2 Rifle Range 100 / 200 yd.
R-1 Trap / Shotgun only
|Please return to: |
|Gem City Gun Club |
|P.O. Box 10533 |
|Erie Pa. 16514-0533 |
Dates requesting:
1st ______/______/______
2nd ______/______/______
3rd ______/______/______
Estimated Number of shooters
___________________
Liability Insurance Carrier: ______________________________________________
Liability Insurance Policy Number: _______________________________________
Effective From: ____/____/____ to ____/____/____
I have read and understand the accompanying range use rules and guidelines and agree to maintain adherence to these rules at all times while using the Gem City Gun Club Facilities.
Name: ______________________________________________________________
Signature: ___________________________________________________________
Date: ____/____/____
Attachments: 1) Gem City Gun Club Range usage rules and guidelines.
2) Site Map
|Do Not write in this area: Gem City Gun Club use only. |
|Indoor Range Fee $__________ |
|Outdoor Range Fee $ __________ |
|Fee per shooter $ __________ |
Gem City Gun Club
Range usage rules and guidelines:
1) A contact person shall be designated as responsible for:
a) Acquiring a key for use of the approved area or range no sooner than 5 days prior to reservation date and shall return said key no later than 5 days after scheduled use failure to do so will result in additional per day charges.
b) Cost of lost keys is paid for by user (re keying may be necessary)
c) Keys may not be loaned borrowed or transferred to any other person.
2) Reporting of any accidents at or damage to the Gem City Gun Club
a) The Gem City Gun Club Contact person Must be notified within 24 hours
b) A detailed written report of any accident at or damage to Gem City Gun Club within 7 calendar days of incident.
3) Mailing copy-notifying neighbors in advance of dim light firing.
4) A copy of range reservation confirmation will be kept on hand while approved areas are in use.
5) All N.R.A. rules shall be in effect and a range safety officer will be designated
6) Indoor facility no person will be closer than 30 feet from the steel backstop wire firing.
7) Cleaning of facility when done is the responsibility of user.
8) Ranges will only be used by those who have been approved to use it.
9) A copy of your Liability Insurance must be on file prior to range usage.
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