EVENT:______________________________________________________
DATE: ___/___/_____
Time: From ___________ To __________
Estimated Participation: ___________________ Open to the public: YES_____ NO _____
Your Name: ________________________________________
Address: ________________________________________
________________________________________
Phone & E-mail: __________________________ ______________________________
RULES:
All requests are subject to WSC Board approval.
Submit your request at least one month in advance to allow for discussion & approval.
All firearm events MUST have at least one (1) NRA Certified Club Range Officer present who dedicated to your event.
All participants must be signed in and have a signed liability wavier held by the RO at the event.
No fee can be charged for use or participation in a range event. However donations are permitted.
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.
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

