Your Application 
to The Great Out Doors

Please fill out the form and print it on your computer, then along with your sponsors come out to our monthly Executive Board meeting which meets on the forth Sunday of every month at 7:00pm.. There you will tell the board a little about yourself and be voted in to the club.

Choose one of the following options:


Enter today's date.....

-- mm/dd/yy

Please enter your name and date of birth......

Date of Birth

Please provide the following contact information:

Street Address
Address (cont.)
Zip/Postal Code
Home Phone

Select any of the following options that apply:

Hunting             Fishing             Archery             Shooting          
Trap Shooting       Muzzleloader Shoot  Turkey Shoot        Clubhouse         
Club Grounds        Farmer Relations    Fish and Game       Riffle and Pistol 
Sporting Dogs       Junior Chapter      Publicity           

Have you ever been convicted of a felony... ?

Yes No

Are you a member of the NRA... ?

Yes No

Have you ever belong to a anti-hunting or anti-gun group... ?

Yes No

Enter your sponsor... in the space provided below.

Enter your second sponsor... in the space provided below.



Brookfield Tri-District Conservation Club
All rights reserved.
Revised: 10/07/06