LWGC Membership 2023 LWGC Membership 2023 Membership DetailsName* First Last Address* Street Address City StateAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneEmail Membership FeesPlease note that choices selected may result in additional fields being required.Type*Renewing MemberNew MemberCSSA# (Renewing Member Only)*Membership Type*Single (18+) $130.00Senior (65+) $125.00Family (primary member and spouse) $165.00Junior (17& under) $40.00Family membership fee per child (dependent children under 21 at home and in school) Price: CAD$ 5.00 CAD Quantity: Handgun Member*YesNoHandgun Levy (enter 1 for Single, 2 for Family Membership if Spouse is also Handgun Member) Price: CAD$ 25.00 CAD Quantity: Late Fee (applicable for renewals after Dec 31st, 2022) Price: CAD$ 25.00 CAD Total CAD$ 0.00 CAD Are You Willing to Help at the Range?*YesNoFor Family Memberships OnlyFor family memberships indicate spouse’s and children’s names below. For renewing members indicate CSSA #s. Note: there is a $5.00 fee per child to be added above.Spouse's Name First Last Spouse's CSSA#Spouse's Email ChildrenNameDate of BirthCSSA# NOTICE TO ALL MEMBERSAs a new or renewing member of the Lake of the Woods Gun Club, you are required to read the current Range Rules and By-Laws posted on the web site at http://www.lwgc.ca and which are also available at the range. By signing this application you are agreeing to follow those rules. New members: As a new member of the Lake of the Woods Gun Club, you are required to participate in a short orientation session before becoming eligible for a range key. See “Range Key Policy” that is posted on the web site for full details.HANDGUN MEMBERSIf you are interested in participating in Handgun please provide your RPAL# and indicate if you already possess your own handgun. There is a $25.00 levy for each Handgun Member. (If this is a family membership, indicate below which member is applying as a Handgun Member.)RPAL #Own a Handgun?YesNoSpouse's RPAL #Own a Handgun?YesNoNote: If you own a handgun and are a new member applying to be a Handgun Member, you will be required to take a club level safety course in order to use your firearm at the range.AREAS OF INTERESTClub survey only – not mandatory – no obligations – changeableCheck all that Apply Trap Sporting Clays Rimfire Rifle Centrefire Rifle Rimfire Handgun Centrefire Handgun Archery Biathlon JUNIOR APPLICATION ONLY - PARENTAL/GUARDIAN CONSENTConsent* I have parental/guardian consent to participate in this organized, supervised sport.FINALAdditional CommentsLake of the Woods Gun Club (LWGC) respects your privacy. We have strict guidelines for the collection, use and disclosure of your personal information. LWGC collects your personal information for the purpose of providing member services as well as meeting legal and regulatory requirements. Personal information is only made available to the staff and executive of LWGC including designated affiliate clubs for the purpose of operating the gun club and providing insurance and other benefits. Your signed membership application hereby provides consent that we have the right to manage your personal information in the identified manner.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name
