Shooting club registration form

Member number

If you're a new member, write out "New".

First Name

Last Name

Member Category

Proof of Membership Class

Please select a file

Godfather's name (associate member)

For associate members only, enter the name and member number of your club sponsor.

Picture (new members only)

Please select a file

If you are a new member, take a selfie on a neutral wall for the creation of your member card. MAX 1 MB

I have read and understood the waiver

Yes

Status

Write down your active military service number, veterant, DND employee, or former DND employee. For associate members, enter non-applicable (N/A).

Rank

If you are civilian, write down "civil" or "veteran".

Unit (if applicable)

If you are civilian, write down "civil" ot ''veteran''

Birth Date

DD/MM/YYYY

Address

City

Province

Postal Code

E-Mail

Phone number

Secondary phone number

Types of weapons

Non restricted firearms *Restricted firearm

*Bill 9's proof required

Firearms license

Expiration date Firearms license

Bill 9 card number

Si vous voulez tirer avec une arme restreinte ou prohibée, inscrire le numéro de votre carte de loi 9. Si vous voulez tirer avec des armes non-restreintes, inscrivez "n/a". / If you want to shoot with restricted or prohibited arms, you need a Bill 9 card. Write down the card's number. If you need a non-restricted registration, write down "n/a".

Bill 9 issue's date

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.

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Shooting club registration form

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