Quoddy Rifle & Pistol Association
Lloyd F. Knowlton Range
Date: _______________
I ________________________________________(please print)
Address:______________________________________________________________________________________________
Telephone number: ___________________________________
E-mail; _______________________________________________
Age: _____________
Respectfully submit my application for membership in the Quoddy Rifle & Pistol Assn. I will in every way possible comply with the bi-laws set down by this club and may be expelled without refund if found to have violated them. To the best of my ability will carry on the National Rifle Association’s safety regulations at the range and see that all others do the same. Regulations are posted at the range.
Only .22 rimfire rifles are allowed
Pistols .22 rimfire thru .44mag.
No full metal jacket ammo
(except lead safe indoor target)
Have you ever been a respondent in a criminal case? Yes____ NO____
Do you use illegal drugs? Yes____ No____
Have you had the right to possess a weapon taken away? Yes____ No____
Have you been treated for a mental illness? Yes____ No____
Do you belong to an Organization, which is trying to overthrow the government of the United States? Yes ___ No ____
I give the association permission to do a background check of my criminal and mental records. Yes___ No ____
Please sign your name that you have answered these questions truthfully and to the best of your ability.
Signature _____________________________________________
N.R.A. membership #__________________________________
Please print and Mail to: Quoddy Rifle & Pistol Association
4 Wilson St.
Eastport, Maine 04631
Lloyd F. Knowlton Range
Date: _______________
I ________________________________________(please print)
Address:______________________________________________________________________________________________
Telephone number: ___________________________________
E-mail; _______________________________________________
Age: _____________
Respectfully submit my application for membership in the Quoddy Rifle & Pistol Assn. I will in every way possible comply with the bi-laws set down by this club and may be expelled without refund if found to have violated them. To the best of my ability will carry on the National Rifle Association’s safety regulations at the range and see that all others do the same. Regulations are posted at the range.
Only .22 rimfire rifles are allowed
Pistols .22 rimfire thru .44mag.
No full metal jacket ammo
(except lead safe indoor target)
Have you ever been a respondent in a criminal case? Yes____ NO____
Do you use illegal drugs? Yes____ No____
Have you had the right to possess a weapon taken away? Yes____ No____
Have you been treated for a mental illness? Yes____ No____
Do you belong to an Organization, which is trying to overthrow the government of the United States? Yes ___ No ____
I give the association permission to do a background check of my criminal and mental records. Yes___ No ____
Please sign your name that you have answered these questions truthfully and to the best of your ability.
Signature _____________________________________________
N.R.A. membership #__________________________________
Please print and Mail to: Quoddy Rifle & Pistol Association
4 Wilson St.
Eastport, Maine 04631