Green River Gun Club

Membership Application

I hereby certify that the answers to the questions below are true and correct. I also understand that a false answer to any questions above will be grounds for expulsion from Green River Gun Club (GRGC). I promise to uphold all rules and regulations of the Green River Gun Club and always practice safe gun handling.

Membership dues are currently $200.00 per year. A one time initiation fee on new members is currently assessed at $50.00. These dues are subject to change and these rates are not guaranteed. This form will be submitted to the GRGC, 4848 Scottsville Rd, Bowling Green, KY 42104.

Incomplete applications will not be processed.

* indicates required

Email Address *

First Name *

Last Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number *

Birthday *

Month / Day

Company *

Job Title *

Are you under 18 years of age? *

YES
NO

Are you under indictment in any court for a crime? *

YES
NO

Have you ever been convicted of any violent crime? *

YES
NO

Are you a fugitive from justice? *

YES
NO

Are you addicted to any illegal drug or substance? *

YES
NO

Have you ever been adjudicated mentally defective? *

YES
NO

Have you ever been dishonorably discharged? *

YES
NO

Are you an illegal alien in the United States? *

YES
NO

Have you ever renounced your U.S. citizenship? *

YES
NO

Have you ever been convicted of domestic abuse? *

YES
NO

Areas of interest?