Greenbelt Gun Club Membership Application

Thank you for your interest in joining our club! Please fill out the form below as completely as possible. After we have received and reviewed your application, we will send you a Paypal invoice for your dues. Dues are $25 per year (Plus $6 for spouse and $2 for each child per year). Once accepted as a new member, you will receive an invoice from Paypal to pay your dues. After we receive payment we will issue your membership card. Then you can schedule your range orientation at AGC and purchase a range badge once that has been completed.

Name Title First Middle
Initial Last Suffix
Address
Street Address

Address Line 2
City State Zip Code
Phone - (###) - ### #### Birth Date / MM / DD YYYY
Email Address

If you have multiple email addresses, please use the same one that you use for Paypal. This will be used for official club communication and payment of dues. Be assured that we will never willfully or knowingly provide your email to any other party.

If you are an NRA member, please provide your membership number. This is for our statistical tracking. We do not require NRA membership as a condition to join GGC.
NRA Member ID
Are you a U.S. Citizen or Legal Resident? Yes No
You may still join our club if you are not a citizen as long as you are are a legal resident.
Associate (Spouse) Name [Optional] Title First Middle
Initial Last Suffix
Your spouse may also join as an associate member for only $6 additional. Associate members are entitled to all benefits of the club but cannot vote in club matters.
Child's Name [Optional] Title First Middle
Initial Last Suffix Birth Year
Children eighteen (18) years of age or younger as of January 2nd of the current year. These members have no vote in CLUB matters and must have a regular member sponsor.
Child's Name [Optional] Title First Middle
Initial Last Suffix Birth Year
Children eighteen (18) years of age or younger as of January 2nd of the current year. These members have no vote in CLUB matters and must have a regular member sponsor.
Child's Name [Optional] Title First Middle
Initial Last Suffix Birth Year
Children eighteen (18) years of age or younger as of January 2nd of the current year. These members have no vote in CLUB matters and must have a regular member sponsor.
How did you hear about us?

If you were referred by an existing club member, please input that members' name. Otherwise, please indicate how you heard about us, such as through AGC, Google search, etc.
Please list any shooting experience you have.

Please list any prior shooting experience - even if you do not have any. This helps us to see how we can help you! You may also use this field to expand on any prior fields.
Member's Pledge: By accepting membership in the Greenbelt Gun Club, Inc. I agree to attend a Range Safety Orientation if requested, volunteer to help out when possible, and to endorse the following: “I hereby certify that I am not prohibited under any local, state, or federal law from owning, using, or possessing firearms. I will not engage in irresponsible, careless, or negligent activities or actions that may endanger, harm, or cause liability to the Greenbelt Gun Club, Inc., its affiliates, or individual members. Finally, I will strive to promote and encourage a thorough knowledge of safe firearms handling practices, proper care and maintenance procedures, and improved marksmanship.”
I agree to the pledge Yes No