Membership Application 1Applicant2Contact3Questionnaire4Experience5Sponsorship Applicant Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Date of Birth* Month Day Year Occupation* Employer Name* Have you ever been a member of the MRC?* Yes No Primary Email* Secondary Email Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you been at the above address for less than one (1) year? Yes No Previous Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell PhoneWork Phone In a sentence or two, please tell us why you chose to apply to the Maryland Rifle Club:*Are you a U.S. Citizen or legal permanent resident?* Yes No Are you eligible under federal and state laws to possess firearms and ammunition?* Yes No The club meets quarterly, always on Saturday afternoons. Are you able to attend meetings? Yes No How much time could you devote to club activities, committee membership, etc.?Have you participated in organized shooting competitions? Please describe.Have you ever shot at the AGC Marriottsville range? Under what circumstances?What skills other than marksmanship do you possess that the Club could use? (Ex: handyman / building trade skills, administrative skills, computer skills, etc.)List any other gun clubs in which you hold or have held membership in the last 5 yearsList all relevant organizations of which you are a member: (ex: NRA, GOA, SAF, MSI, etc.)*List all relevant firearms-related licenses you hold (ex: HQL, CCW, NFA, etc.)*List all relevant certifications you have (ex: hunter safety, HQL course, NRA marksmanship, etc.)*Are you a registered voter? Yes No Do you consider yourself politically active? Yes No Are you on a first-name basis with any elected officials at any level? If so, please amplify:Any additional comments you want to share with us? Please select the level of experience you have with each discipline:High Power Rifle*None1-5 years5-10 years10+ yearsSmallbore or Rimfire Rifle*None1-5 years5-10 years10+ yearsCurio & Relic Firearms*None1-5 years5-10 years10+ yearsShotgun*None1-5 years5-10 years10+ yearsMuzzleloader / Black Powder*None1-5 years5-10 years10+ yearsPistol*None1-5 years5-10 years10+ yearsPistol*None1-5 years5-10 years10+ yearsAir Rifle / Air Pistol*None1-5 years5-10 years10+ yearsArchery*None1-5 years5-10 years10+ years Do you have a sponsor?* Yes No The Executive Membership Committee reviews applications without a sponsor.Sponsors must meet the following requirements: Member for more than 1 year Current on Dues Have less than two (2) infractions Have a current AGC Range Badge Please enter any ONE of the following:Sponsor Email Sponsor Member Number Sponsor AGC Range Badge Number EmailThis field is for validation purposes and should be left unchanged.