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Login Information
Email Address
*
Please enter your email address
Re-enter your E-mail Address
*
Re-enter your email address
Password
*
Minimum length of 8 characters.
The password must have a minimum strength of Medium
Strength indicator
Repeat Password
*
Contact Info
First Name
Last Name
Nickname
Date of Birth
*
Please enter your date of birth mm/dd/yy
Website
Emergency Contact Information
*
Please list your emergency contact here
Primary Contact Number
*
Select
Home
Mobile
Work
Other
Please select your primary contact number
Home Phone Number
*
Required phone number format: (###) ###-####
Please list your home phone number.
Mobile Phone Number
*
Required phone number format: (###) ###-####
Please list your Mobile number.
Additional Family Members
Please list additional family members to be included in the membership. They must be under 18 or under or up to age 23 while attending college.
Are you enrolling a spouse or significant other?
*
Select
Yes
No
Are you enrolling a spouse or significant other in your membership?
Are you enrolling any minor children?
*
Select
Yes
No
Are any of the family members listed above minors?
Family Member 1 (First and Last Name)
Enter First and Last name of Family Member 1
Family Member 1 DOB
Enter the DOB of Family Member 1
Family Member 2 (First and last name)
Enter Family Member 2 First and Last Name
Family Member 2 DOB
Enter the DOB of Family Member 2.
Family Member 3 (First and last name)
Enter the First and Last name of Family Member 3.
Family Member 3 DOB
Enter the DOB of Family Member 3
Family Member 4 (First and last name)
Enter First and Last name of Family Member 4
Family Member 4 DOB
Enter the DOB of Family Member 4
Club Affiliations
What other clubs are you affiliated with?
Are you a member of WSAA?
*
Select
Yes
No
Are you a member of Washington State Archery Association?
Are you a member of NFAA?
*
Select
Yes
No
Are you a member of National Field Archery Association?
Are you a member of NASP?
*
Select
Yes
No
Are you a member of the National Archery in the Schools Program?
Are you a member of the NRA?
*
Select
Yes
No
Are you a member of the NRA?
Are you a member of CCRP? If yes then wait for the signup date to appear below. Before moving on.
*
Select
Yes
No
Are you a member of Capitol City Rifle & Pistol Club? If you are please wait for the sign up date to appear below before moving on.
CCRP Join Date
When did you join CCRP? (Capitol City Rifle & Pistol Club)
Membership Information
Membership Type
*
Select
Full Member
Associate Member
Select the membership option.
Original CCB Signup Date
Members Original Signup Date with Capitol City Bowmen
Last CCB Payment Date
Last Membership Payment Date for CCB
CCB Membership Expiration Date
CCB Membership Expiration Date
Date CCB Member Billed
Last CCB Billing date for membership
Last Login Date
Last date member logged in
Mandatory Agreements
Agree to Terms and Conditions
*
Please check the box here to indicate that you agree to the
Terms & Conditions
of the club. Also that you acknowledge an electronic signed version is the same as a hand signed agreement.
Agree to Refund and Return Policy
*
Please check the box here to indicate that you agree to the
Refund and Return Policy
of the club. You also acknowledge an electronic signed version is equivalent to a hand signed agreement.
Adult Member Waiver and Release of Liability
*
Please check the box here and fill out the following form to indicate that you agree to the
Adult Waiver and Release of Liability
of the club. I also acknowledge an electronic signed version is the same as a hand signed agreement.
Adult Associate Member Waiver and Release of Liability
*
Please check the box here and fill out the following form to indicate that you agree to the
Adult Associate Member Waiver and Release of Liability
of the club. I also acknowledge an electronic signed version is the same as a hand signed agreement.
Adult and Minor Waiver and Release of Liability
*
Please check the box here and fill out the following form to indicate that you agree to the
Minor Waiver and Release of Liability
of the club. The Parent or Guardian must also fill out and agree to the terms in the top section of the form as well as signing for the minor. You also acknowledge an electronically signed version is the same as a hand signed agreement.
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