Application for membership

APPLICATION FOR MEMBERSHIP

Lovettsville Game Protective Association

16 S Berlin Pike – PO Box 101

Lovettsville, VA 20180

540-822-5997

The Lovettsville Game Protective Association’s purpose is to operate a non-profit organization in a way beneficial to wildlife and the community to unite landowners, sportsmen and citizens in an effort to restore and preserve wildlife, all directed toward providing the community with better and more worthwhile sports and recreation activities.
To apply for membership in the Lovettsville Game Protective Association, applicant must:

• 
  Be at least 21 years of age;
  
• 
  Be sponsored by an active member in good standing;
  
• 
  Be willing to volunteer at least 60 hours and attend at least 6 club meetings each year; and
  
• 
  Not have been convicted of a violation of game laws.
  

Applicant must complete a probationary period of 6 months before being granted full membership privileges. To satisfy this requirement, applicant must volunteer at least 12 hours and attend at least 3 club meetings during this 6 month probationary period.

A non-refundable application fee of $45.00 is required at time of application. Application fee includes annual membership dues of $20.00.

Name: ________________________________________________ Age: ___________

Address: _________________________________________________________________________

_________________________________________________________________________

Phone Number: __________________________

E-mail Address: ____________________________________________________

Have you ever been convicted in any state for violation of any game laws? No: _____ Yes: _____

If “Yes”, explain: ____________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

I have read and agree to the requirements for membership as stated above.
Signature: ___________________________________ Date: ______________
Recommended By: ____________________________________________________

For Club Use:

Date Voted: _______________ Approved: ______ Disapproved: _______

2010