Membership Application

BLACKHAWK BOWHUNTERS

2103 County Trunk PB Verona,WI 53593

PH# (608) 845-3960

WEBSITE: www.blackhawkbowhunters.com

E-MailAddress: mailbox@blackhawkbowhunters.com

About Blackhawk Bowhunters

- All seasons league shooting for NFAA, Bowhunters and Youth - Established Leagues!
- Indoor & Outdoor shooting - Established Facilities!
- Clubhouse has 16 shooting lanes plus a separate kitchen and bar area
- Separate outdoor practice areas for target and broadhead
- 28-target outdoor broadhead/3D range and 14-target NFAA range
- Annual host to Vortex Open - Established Events!

- Non-profit organization so so all money goes to support the sport of Archery and Hunting - - Established Financially!

- CROSSBOW USE is allowed. Blackhawk recommends crossbow shooters bring their own portable target to practice outdoors.

- Please contact a board member if you have any questions.
Blackhawk Bowhunters Membership Application

Note: Blackhawk Bowhunters will not publish nor sell any member info without your permission
Membership is conditional upon acceptance
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
E-mail
Check here if you don't have email access and WANT A PRINTED newsletter MAILED to you

Mail Newsletter
Home Phone *
Work Phone
Cell Phone
Membership Types:

If applying between Aug. 1 and Nov. 15 please select & pay for the 6 month option
- Working Memberships: require the specified number of hours of work on behalf of the club.
- Family Membership will consist of a head of house, spouse, and children under the age of 18 on or before the date of application for membership, or a combination thereof, or a couple living at the same address.
- Youth: Must be under age 18 and provide signed statement of parental consent.
- Student: Must be a current student in a post high school program.
- Senior : Must be age 65 or over.
- Retired & Relocated Membership (R&R) : Must be a 5+ year Blackhawk member, retired and no longer living in the area.
- Annual Memberships run February 1 to January 31
- Six Month Memberships run August 1 to January 31
NEW MEMBERS ONLY: Annual membership applications received after the end of the WI Gun season will be treated as annual membership applications for the next membership year and will receive the remainder of the current year at no cost or work requirement.
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Six Month - Single Working Membership (four (4) hours of work) $ 60.00

Six Month - Family Working Membership (six (6) hours of work) $ 80.00

Six Month - Youth Working Membership (four (4) hours of work) $ 30.00

Six Month - Student Working Membership (four (4) hours of work) 2 $ 30.00

Six Month - Senior Working Membership (four (4) hours of work) $ 30.00

Six Month - Single Non-Working Membership $ 110.00

Six Month - Family Non-Working Membership $ 175.00

Six Month - Youth Non-Working Membership $ 80.00

Six Month - Senior Non-Working Membership $ 80.00

Unworked Hours $ 15.00

Quantity

Total $ 0.00
LIST NAMES OF IMMEDIATE FAMILY MEMBERS WITHIN YOUR HOUSEHOLD WHO WILL BE USING THE FACILITY:

Please do not provide any names below if you selected a Single Membership
Life Partner Name

First Name Last Name
Youth Name

First Name Last Name
Date of Birth

Month Day Year
Youth Name

First Name Last Name
Date of Birth

Month Day Year
Youth Name

First Name Last Name
Date of Birth

Month Day Year
Youth Name

First Name Last Name
Date of Birth

Month Day Year
MEMBERSHIP WORK OPTIONS

Blackhawk Bowhunters has achieved success because of the efforts of its members. We believe that each member has valuable skills to contribute. Please consider the following areas of interest in which you would like to offer to help:
Work Activity

Club Shoots Kitchen/Bar Maintenance Landscaping Youth Program Newsletter
If you work in a trade i.e. plumber, carpenter etc. please list the trade
How did you hear about the club?

Archery Program Facebook Leagues Shoots Vortex Open Website
WAIVER: I understand that archery can be a dangerous activity if safety rules are not followed. Blackhawk Bowhunters will continue to make every attempt to provide a safe environment to enjoy the great sport of archery. I agree that I, and any guests that I bring to the club, will abide by the rules and will use club facilities at our own risk.
I agree to the above conditions *

Yes No
Full Name *

First Name Last Name
Date *

Month Day Year
Youth Membership Parental Consent: I am the parent/legal guardian for the youth who are listed on this form and I give my consent to join Blackhawk Bowhunters. I agree that my Youth will abide by the rules and will use club facilities at our own risk.

(Youth members under the age of 16 MUST be accompanied by an adult at ALL times.)
Full Name

First Name Last Name
Date

Month Day Year
BLACKHAWK BOWHUNTERS BASIC RULES:

CLUBHOUSE IS SMOKE-FREE.

NO ALCOHOLIC BEVERAGES WILL BE SOLD WITHOUT A LICENSED BARTENDER ON THE PREMISES. ALCOHOL CANNOT BE BROUGHT ON TO BLACKHAWK PREMISES WITHOUT BOARD APPROVAL. NO ALCOHOL USE BY UNDERAGE PERSONS (under 21 years old). Members may NOT serve their underage children alcoholic beverages while at the club. It is the responsibility of all members to ask for proof of age if they feel someone is in violation. VIOLATION of these alcoholic beverage rules will result in IMMEDIATE FORFITURE of membership.

CROSSBOW USE is allowed. Blackhawk recommends crossbow shooters bring their own portable target to practice outdoors. Please contact a board member if you have any questions.

RESPECT THE ADJOINING LANDS. We want to be a valued part of the community and that can only be accomplished when good will is established with our neighbors. Must draw bow below the shoulder.

BROADHEAD USE: Broadheads are only to be used in the dirt bunkers left of the clubhouse or in the dirt bunkers on the outdoor range.

GUESTS: Each member is allowed to bring 1 or 2 guests with them to use the facilities one time and the guest is requested to become a member. Non-member(s) must be accompanied by a member and must pay a $5.00 per day shooting fee to use either indoor or outdoor ranges.

SHOOT FEES: Shoot fees are to be deposited in the GREEN TUBE by the right most indoor range entrance door.

$1.00 an hour fee for “indoor” shooting plus $1 per new target

$5.00 to shoot a complete 3D round on the outdoor range.

$5.00 Non-member fee per day (see guests).

CLUBHOUSE USE:

Turn on only the lights that are needed. Turn off lights when you leave.

Thermostat is set for minimum heat when indoor facilities are not in use (contact a Board Member if you find there is a heating problem).

Be careful about what you throw down the toilet and drains. Water is hooked up to a mound system.

Ranges are periodically closed for shoots, clean-up and repairs. The Board will try to keep the membership informed of these dates. Please check your Newsletter, Website, or contact a Board member if questions.

LOG WORK HOURS: You must log your work hours in the “WORK HOURS” book located in the clubhouse. Immediately log the date, hours and the type of work you performed.

NOTE: WORKING MEMBERS will be assessed at the end of the year a $15/HR FEE FOR UNWORKED HOURS. It is each member’s responsibility to pursue work opportunities. Check your newsletters or Blackhawk’s website, Blackhawkbowhunters.com and click on Events for a listing of club tournament dates. If you can help at any tournament, or on the club cleanup day, contact President Dale Goytowski. Also click on Board of Directors for phone numbers of areas/events you’re interested working in (Kitchen, Maintenance, Leagues, Tournaments, etc.).

PICK-UP/CLEAN UP AREAS BEFORE YOU LEAVE. IF YOU ARE THE LAST TO LEAVE THE PREMISES, IT’S YOUR RESPONSIBILITY TO MAKE SURE THAT THE CLUB HOUSE & GATE ARE LOCKED.

COME OUT AND ENJOY BLACKHAWK BOWHUNTERS. IT’S A GREAT PLACE TO MEET NEW PEOPLE!
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Your membership application is not complete until you click the Submit button and pay by PayPal. Applications submitted will typically be processed in 3-5 business days.

If you prefer to pay by check, you can print and mail this form. Make checks payable to Blackhawk Bowhunters and mail along with this completed form to:

Brian Kreutz

6317 Urich Ter

Madison, WI 53719

Questions??? Call - Brian Kreutz (608) 335-6026
Attach a copy of your student id if applying for the Student membership

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Blackhawk Bowhunters Membership Application

LIST NAMES OF IMMEDIATE FAMILY MEMBERS WITHIN YOUR HOUSEHOLD WHO WILL BE USING THE FACILITY:

MEMBERSHIP WORK OPTIONS

Brian Kreutz

6317 Urich Ter

Madison, WI 53719