Name: ______________________________    Spouse:___________________________

Address:______________________________________________________________

City: ________________________________________     Zip: ___________________

Phone:  (_____) __________________________  Date of Birth:  _____/_____/______

Occupation: ___________________________________________________________

Sex:  Male:  _______  Female:  _______

Membership in Weld Co. Fish & Wildlife Assn., Inc. is available without regard to race, color, sex or national origin.  I have read and fully understand the rules and regulations of W.C.F.&W. and do agree to abide by same.  I understand that breaking any of these rules, after a proper hearing with the Board of Directors, is grounds for club dismissal.  I can be prosecuted by the law and made liable for all costs involved with such legal actions and all damages to Club property.

Signature:  _______________________________________  Date:  _______________

Please make check payable to WCF&W and return with BOTH your
WCF&W Renewal Application & Waiver.

NRA Membership Application
Membership page.