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:
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.