Nanticoke Conservation Club Application


Name__________________________________________________________________________________

Address________________________________________________________________________________

City_________________________ State________________   Zip________________________________

Phone____________________________________  Email_______________________________________

Sponsor________________________________________________________________________________


                                                Please answer the following:

1)  Have you been under arrest for any fish or game violations in the past three years?______

2)  Will you attend meetings on a regular basis?______

3)  Do you agree to attend at least two work details a year?_____

4)  Do you agree to have yearly dues of $20 paid by February of each year?______

5)  Do you agree to sell tickets for as many fundraisers as the club shall run?______

6)  Do you agree to take proper care of club boats, not to lend the keys to anyone and to agree to return the keys within 24 hours of signing the boat out? ______

7)  Do you agree to abide by the present rules and regulations of the club and any that may be passed  in the future?______

8)  Do you understand that any false information you provide on this application may lead to your dismissal from the club?_____




                                                Signature____________________________________