NORTH COUNTY SHOOTIST ASSOCIATION
MEMBERSHIP
APPLICATION FORM
Date___________________________ Renewal___________
Name__________________________________________ New Membership_____
Street Address________________________________________
City___________________________________________State___________Zip_______
Telephone Number (______)________________________
NRA#__________________CRPA#__________________SASS#__________________
Membership yearly cost is 65.00 Per
family, includes children under 18
I am interested in the following shooting venues:
SASS Cowboy Action shooting __________Your Alias__________________________
NCSA Hi-Powder Rifle_____________ BPCR silhouette_________________________
Varmint Rifle Silhouette__________ Cowboy lever action Silhouette________________
Hunter Pistol Silhouette____________ Recreational Shooting _____________________
IPSC (LDF)____________Long Range Buffalo Shooting__________________________
Hi-Power Rifle Silhouette_________________
Send your completed application to NCSA. Make checks out to NCSA
Prior
to shooting at the range you will have to fill out and sign a waiver
of Liability (Please click on the link and print)...
for you and each member
of your family that will use the range. You will also receive a membership card.
NCSA
C/O Harold Itchkawich
536 Mimosa Ave
Vista CA 92081-8117
You may check our club web page for detailed information www.ncsapala.com
You may phone Harold at 760-727-9160