Burlington Flats Fish & Game Club



|Burlington Flats Fish & Game Club |

|ANNUAL MEMBERSHIP APPLICATION |

|Instructions |

|The membership year starts each January. We do not prorate memberships. Fill-out all information then mail the completed form and |

|payment (made out to Burlington Flats Fish & Game Club) to our Club Secretary at the address below. If you have any questions, please |

|call (607) 965-8096. |

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|Theresa Mayne |

|766 Fish and Game Rd |

|Burlington Flats, NY 13315 |

|Applicant Information |

|Name (Last, First): |

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|Current Address: |

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|Home Phone: |Cell Phone: |Email: |

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|Membership Type |

|Type of Membership Needed?: Family ($55) Individual ($35) |

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|If this is a family membership, please list the family members below. Please note that family memberships are limited only to you, your |

|spouse/significant other and any children under 18. |

|Name: |Name: |

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|Name: |Name: |

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|Name: |Name: |

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|ADDITIONAL INFORMATION |

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|Are you a member of the National Rifle Association (NRA)?: Yes No |

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|Our club supports the NRA which fights to maintain our constitutional right to bear arms. We strongly encourage our members be part of |

|the NRA. If you are not an NRA member at this time but decide to join later, please let our secretary know. |

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|Check here to verify that you understand our club rules (on back of form): I understand |

Burlington Flats Fish & Game Club Range Safety Rules

1. Our ranges and facilities are NOT public. Only current club members and escorted event guests are permitted. Each member is permitted one guest. Non-members may not shoot unless they are attending a special event which is open to the public or are escorted by a member.

2. Obey all commands from club officers, range staff and volunteers.

3. All range users and shooters are responsible for range safety and safe shooting.

4. All shooters must immediately correct & report any unsafe conditions to a Rangemaster/club official.

5. Shooters and observers must wear ear and eye protection.

6. Firearms must be carried safely, unloaded, with the action open, safety engaged (where available) and the muzzle up. Use of chamber flags is encouraged.

7. Firearms are to be made safe (unloaded, action open, safety engaged) and grounded/not handled during cease fire periods, or when people are in front of the firing line. Firearms can only be handled once all persons are behind the firing line (or are under cover in pit), safe conditions exist and the Rangemaster says it’s safe to do so. gives the command to commence fire.

8. All shooting will be in authorized range areas only.

• Always be sure of your target and range conditions before and while shooting. Be mindful of animals, vehicles and people who may accidentally enter the area.

• All shooting will be aimed (no quick-draw, from the hip or other reckless firearm usage).

• All shooting is to be in the direction of and into berms/backstops only.

• No shooting at unauthorized targets (i.e., old appliances, glass, objects that will call ricochets, etc.).

• No shooting at range structures or facilities (target frames, buildings, furniture, etc.).

9. If you make a mess, clean it up. Take your trash out with you.

10. Respect the club's equipment/facilities and other people's equipment. Never touch or handle any other person’s equipment without their permission.

11. Alcohol or drugs and people under their influence are prohibited on all club ranges. No firearms may be handled by persons who are under the influence of alcohol or drugs at any time on club property.

12. Shooting (300-yard range and skeet) take precedence over all fishing activities. If you are fishing and a member lets you know they will be shooting in that area, please stop fishing and leave the area.

13. There are conditions/times when shooting is limited/restricted for the following locations:

• 300-yard range/Fishing pond- No shooting/fishing if people are using the skeet field (due to fall of shot).

• Skeet field- No shooting if people are on the 300-yard range or pond.

• 50-yard range- No shooting if people are using the trap field (due to close proximity).

• Trap field- No shooting on the trap field if people are using the 50-yard range.

• Indoor Range- No shooting from closer than 50-feet. There are also type/caliber limitations (a full listing can be found posted on the entrance to and inside the indoor range.

• All outdoor ranges- No shooting outdoors when the Boy Scouts are in camp (they could be downrange).

14. Club-sponsored shooting events take precedence over personal shooting. Otherwise, its first come, first serve (if someone else is shooting, you must wait).

15. No shooting when:

• The ranges are reserved (consult our website calendar).

• Boy Scouts are in camp. 

• When the main road sign indicates the range is in use. People may be downrange shooting, working on facilities or walking in woods behind target pits. Even if you don't see anyone immediately, always manually check the ENTIRE range, fishing pod, target pit and woods behind the pit before shooting. This is CRITICAL as someone may be in the pit, around the pond or in the forest behind the pit.

1. Exercise extreme caution during hunting season; there may be unseen hunters in the area.

FAILURE TO FOLLOW THESE RULES MAY RESULT IN LOSS OF YOUR CLUB MEMBERSHIP.

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