LAMPREY RIVER BOWHUNTERS Membership Application/Dues


c/o Lamprey River Bowhunters (Sec’T)                       (circle choice)   Renewal                        New Member
PO Box 323                                                                                      Single $20.00                       Single $25.00
                                                                                                          Family $25.00                       Family $30.00
Kingston NH 03848                                                           

                                                                                             (from 12/31 20__ thru 12/31 20__)

Name______________________________________ Date__________________
Address___________________________________________________________
Birthdate__________________ Telephone____________________ Zip_________
Occupation_________________________________ Years involved in Archery____
Hobbies____________________________________________________________
Clubs presently a member of ___________________________________________________________________

I understand that Bowhunting and Archery are assumed risk sports and I do hereby release
Lamprey River Bowhunters, the wardens of this property, and the Brentwood Recreation
Center Inc., from any responsibility or liability for any injuries or accidents suffered on the
Lamprey River Bowhunters Range.

Signature____________________________ Sponsoring Member__________________
Family Members_________________________________________________________
E-Mail Address____________________________ (OK to Publish? YES NO)

(to other club members only)

(Saves the club money if we can e-mail newsletters)