Membership Application

Kennesaw Archery Club

Membership Application / Renewal

Please Print

Name____________________________________ Date___________

Address__________________________________ City_______________ St.____ Zip_______

Telephone ( )______-_______ Email Address__________________________

County of Residence___________________________ Do you pay city taxes where you live? Yes___ No____

Renewal ( ) New ( )

Adult Single: $25.00

Junior (<18): $10.00

Family: $40.00 (immediate family members only )

In addition to the annual membership fee,Cobb County imposes a non-resident fee of: $25.00

if you live outside of Cobb County which is not prorated.

For family membership, please list names.

Include date of birth for those under 18.

Name______________________________________________________ DOB________________

Single Individual Lifetime membership: $250.00

Membership is from July 1 through June 30 each year. You may pro-rate the amount due based on time of joining.

(ex:$2.08 per month or partial month as adult single) + out of county fee if applicable.

Membership allows range privileges, but does not include any class fees. Classes /events posted on calendar take precedent over range access.

All members of the Club work together and share the work load to keep the range maintained, so please do your part! Various responsibilities may be assigned (target maintenance, range clean-up, tournament duty, etc.)

Membership meetings will be posted on the website:www.kennesawarchery.org. The Kennesaw Archery Club Newsletter is the mode of communication for the club and is posted on the website along with Bulletin Board announcements, or home page notices.

Guests may shoot on club ranges only on two separate occasions while accompanied by a current member and then must become a member to shoot at the ranges.

NO BROADHEADS allowed on Target or Field ranges.

Please twirl the lock combo for security measures upon exiting range.

Effective 2008: signed waiver and release form must accompany this renewal. release form linked here

Total Amount due $_______

Make check payable to: Kennesaw Archery Club, Inc and send to

The Kennesaw Archery Club, Inc.

P.O. Box 1751

Kennesaw, GA 30144

ATT: Mike Sullivan ( you may contact Mike mjsams1@gmail.com, requesting the gate code be e-mailed to you when application is received)

Chris Tackett- President/JOAD Director

Jim White – Vice President

Mike Sullivan– Secretary & Treasurer/ membership & gate code mjsams1@gmail.com

Jefflyne Potter- new student scheduling/ (770) 422-0806

membership info