Kennesaw Archery Club

Membership Application / Renewal 

membership #_____________ (office to fill out; new each year)

         PDF of this  form                                                                                                                Please Print legibly!!!

Name____________________________________   Date___________

Address__________________________________ City_______________ St.____ Zip_______

Telephone (          )______ -_______ Email Address_____________________________________ Please Print

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

 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.

Circle membership type selected below:

Renewal (  )        New (   )

     Adult Single:                                                                $25.00

     Junior (<18):                                                                $10.00

     Family:                                                                          $40.00 (immediate family members, living in house only )

    Out of County fee?                                                      $25.00

    Single Individual Lifetime membership?:             $250.00

Total Amount due                                                 $_______    check#______________           (   ) CASH (At range only)

For family membership, please list names. Release form must be returned for EACH member.

Include date of birth for those under 18.

      Name______________________________________________________ DOB________________

      Name______________________________________________________ DOB________________

      Name______________________________________________________ DOB________________

      Name______________________________________________________ DOB________________

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)   + full 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 2011:2 signed waivers and release forms must accompany this renewal for EACH member Release formsLink: Sports, General

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

     The Kennesaw Archery Club, Inc.   

     P.O. Box 1751

    Kennesaw, GA 30156

      ATT: Mike Sullivan   ( you may contact Mike at 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/   membership info                            (770) 422-0806