Request For WSC Range Use
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EVENT:______________________________________________________

DATE: ___/___/_____

Time: From ___________ To __________

Estimated Participation: ___________________ Open to the public: YES_____ NO _____

Your Name: ________________________________________

Address: ________________________________________

________________________________________

Phone & E-mail: __________________________ ______________________________

RULES:

  1. All requests are subject to WSC Board approval.

  2. Submit your request at least one month in advance to allow for discussion & approval.

  3. All firearm events MUST have at least one (1) NRA Certified Club Range Officer present who dedicated to your event.

  4. All participants must be signed in and have a signed liability wavier held by the RO at the event.

  5. No fee can be charged for use or participation in a range event. However donations are permitted.

  6. All monies in excess of the actual cost of the event will be deposited with the WSC Treasurer and a simple balance sheet will be provided by the event sponsor.

  7. Either e-mail this completed form to: n.coates@roadrunner .com or USPS to:

N Coates 52 Holland Street, Moultonborough, NH 03254. Questions: 603-476-8101


Requested By: ____________________________________ Date: ___/___/_______


CLUB USE: Received: __/___ / ___ Approved: YES ______ NO _____

Sponsor notified: __/___/___ By: ____________________ Issue: 1.0