Southern Minnesota Sportsman's Club
Specify the type of membership
(please select one):
New Member
Membership Renewal
Life Membership
If your spouse also shoots, please fill in your spouse's information.
Member Information
(please fill out):
Spouse Information
(Optional)
First Name:
Spouse First Name:
Last Name:
Spouse Last Name:
Middle Initial:
Spouse Middle Initial:
Home Telephone Number:
-
-
Spouse Cellphone Number:
-
-
Cellphone Number:
-
-
Spouse Email Address:
Address:
Apartment Number:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Mail Zip Code:
Email address:
Date of Birth (MM/DD/YYYY):
/
/
I have read the "SMSC Standard Operating Procedures" and will obey these rules. I understand that if I do not follow these rules, I could be asked to leave the range for the day and/or lose my membership to the Southern Minnesota Sportsman's Club. As a member it is my obligation to abide by and enforce these rules. Additionally, I understand that I must take the Safety Orientation class before I use the range and that I must abide by all of the rules provided in that class.