Membership

Is this a Membership renewal

Yes
No

How many people are you registering for Membership?

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date of Birth

Email

Confirm Email

Membership Applying For:

Primary (Voting) Member - $35.00
Associate Member (Spouse) - $10.00
Junior Member (Under 18, must be associated with a Primary Member) - $5.00

Primary Members must be NRA Members in good standing. Members MUST have a current membership card in their possession when using any KSS facilities. Junior Membership is included in the Junior Program Fee. Dues are collected annually

2nd Member

Name

First

Last

Is the address the same as the Primary Member above?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Applying For:

Assiciate Member (Spouse) - $10.00
Junior Member (Under 18, must be associated with a Primary Member) - $5.00

3rd Member

Name

First

Last

Is the Address the same as the Primary Member above?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Applying For

Associate Membership (Spouse) - $10.00
Junior Membership (Under 18, must be associated with a Primary Member) - $5.00

4th Member

Name

First

Last

Is the Address the same as the Primary Member above?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Applying For

Associate Member (Spouse) - $10.00
Junior Member (Under 18, must be associated with a Primary Member) - $5.00

5th Member

Name

First

Last

Is the Address the same as the Primary Member above?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Applying For

Associate Member (Spouse) - $10.00
Junior Member (Under 18, must be associated with a Primary Member) - $5.00

6th Member

Name

First

Last

Is the Address the same as the Primary Member above?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Applying For

Associate Member - $10.00
Junior Member (Under 18, must be associated with a Primary Member) - $5.00
Third Item - $50.00

NRA Membership Information

*Required for all new Primary Members* Primary Member's NRA Membership card - Please take a picture of your card or scan it and upload it here.

File Upload

Click or drag a file to this area to upload.

NRA Membership Number:

Expiration Date

Type of NRA Membership

The NRA Pledge

I pledge that I am a citizen of good repute of The United States of America; that I am not a member of any organization or group having as its purposes the overthrowing by force or violence the Government of the United States or any of its political subdivisions; that I have never been convicted of a crime of violence; and that admitted to membership, I will fulfill the obligations of good sportsmanship and good citizenship.

Payment

Total Due

$0.00

Credit/Debit Card

Signature

Clear Signature

Apply for or renew your Kern Shooting Sports Membership Online:

2nd Member

3rd Member

4th Member

5th Member

6th Member

NRA Membership Information

Payment

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