PLEDGE AS AN AMERICAN TO SAVE, CONSERVE AND TO FAITHFULLY DEFEND FROM WASTE THE NATURAL RESOURCES OF MY COUNTRY, IT'S SOIL, IT'S MINERALS, IT'S FORESTS, AND IT'S WILDLIFE
ALL RANGES CLOSED NOV 18 & 19
MEMBERSHIP APPLICATION
Application fees are as follows: .
65+ $70.00 plus $100.00 a one time initiation fee
under 65 $85.00 plus $100.00 a one time initiation fee
FAIRFIELD FISH AND GAME ASSOCIATION MEMBERSHIP APPLICATION
DATE: _______________________ DOB: ___________________
NAME: ___________________________________________
ARE YOU A VETERAN ______________________________
STATE ID/ DRIVER LICENSE #: _________________________
EMAIL ADDRESS: _________________________________________________________
DO YOU HAVE ANY IMMEDIATE FAMILY MEMBERS THAT ARE CURRENTLY MEMBER(S)? ("Immediate family" - Means a spouse or significant other ("significant other" as used in this definition means one who stands in place of a spouse and who resides with the employee), parents, children, grandparents, siblings, grandchildren, brother- in-law, sister-in-law, daughterin-law, son-in-law, mother-in-law, father-in-law, step-parents, step-children, step-siblings, or a legal guardian or another person who stands in the place of a parent (in loco parentis).
(NAME/RELATIONSHIP) ____________________ ________________________
(NAME/RELATIONSHIP) ____________________ ________________________
(NAME/RELATIONSHIP) ____________________ ________________________
CURRENT STREET ADDRESS: ____________________________________________
CITY: _________________________________ STATE: ________ ZIPCODE: __________
PHONE#: __________________________________
LIST THE NAME OF YOUR SPOUSE AND/OR CHILDREN UNDER THE AGE OF (18) EIGHTEEN LIVING IN THE HOUSEHOLD. PLEASE LIST THE AGE OF ALL CHILDREN.
______________________________________________ AGE _______
______________________________________________ AGE _______
______________________________________________ AGE _______
______________________________________________ AGE _______
STATE YOUR OCCUPATION OR PLACE OF EMPLOYMENT
_________________________________________________________________
3. WHAT INTERESTS DO YOU HAVE THAT MIGHT BE SERVED BY MEMBERSHIP IN THIS ORGANIZATION:
4. WOULD YOU BE ABLE TO ATTEND AND PARTICIPATE IN THE REGULAR MONTHLY MEETINGS HELD ON THE FIRST MONDAY OF EACH MONTH? YES NO
5. THE CLUB EXPECTS AT LEAST 5 HOURS OF SERVICE EACH YEAR BY EACH MEMBER. IF YOU ATTEND 5 GENERAL MEETINGS YOUR HOURS WILL BE WAIVED. THIS SERVICE CONSISTS OF BUT IS NOT LIMITED TO: CLEANING DEBRIS, PAINTING, CARPENTRY WORK, HELP AT TURKEY SHOOTS OR OTHER EVENTS. YOU HOURS WILL BE RECORDED TO CARETAKER USING A WORKSHEET. (If you work your 5 hours no money is owed to the Fairfield Fish and Game. If you DO NOT work your 5 hours the time will be prorated, Example: if you work 3 hours you will owe Fairfield Fish and Game $30 this equals out to $15 per hour If your spouse/significant other works 5 hours for you their 5 hours will go toward spouse/significant card caring member’s hours. Exempt from 5 hours of work are seniors, out of state residents and handicapped with capabilities.)
DO YOU AGREE WITH THE ABOVE? YES NO
IF NOT STATE REASON BELOW:
_________________________________________________________________
6. LIST ANY FELONY CONVICTION OF YOURSELF OF ANYONE LISTED ON THIS APPLICATION. WITH YOUR ACKOWLEDGEMENT OF THIS, IT WILL ALLOW US TO PROFORM AT OUR DISCRETION A BACKGROUND CHECK OF ALL PERSONS LISTED ABOVE.
________________________________________________________________
I GIVE MY PLEDGE AS AN AMERICAN TO SAVE, CONSERVE AND TO FAITHFULLY DEFEND FROM THE WASTE NATURAL RESOURCES OF MY COUNTRY, IT'S SOIL, IT'S MINERALS, IT'S FORESTS, AND IT'S WILDLIFE
SIGNATURE _____________________________________________
****SUBJECT TO REVIEW BY BOARD OF DIRECTORS****
DIRECTOR SIGNATURE ____________________________________________
SPONSOR SIGNATURE ____________________________________________
SPONSOR SIGNATURE ____________________________________________
SPONSOR SIGNATURE ____________________________________________
FAIRFIELD FISH AND GAME
2270 BICKEL CHURCH RD NW
BALTIMORE, OH 43105
740.862.8679
3 Gun Ranges
Skeet Shot
Archery Range
Stocked Pond
Turkey Shoots
Easter Egg Hunt
Dealing Days
Fireworks Display
Family Outing
Kids Fishing Day
Handicapped Kids Fishing Week
Trout Tournament
Catfish Tournaments
Lot of Kids events
Halloween Party
Boy Scouts Camp Area
100 Lot Campground
Weekend Camping Area
ACCEPTING New members
** all ranges closed until after event
Fairfield Fish and Game Association
2270 Bickel Church Road NW PO Box 124 Baltimore, Ohio 43105
President Tim Snider 740.862.8679 Secretary Robin Varney
2023 SCHEDULE OF EVENTS
February 11 Valentine Pork Loin Dinner 5pm – 7pm or sold out $10 a plate
February 12, 26 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
March 11 Work Day 9am to 1pm
March 12, 26 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
March 25 Campers meeting – MANDATORY for Campers - Shack 11am
April 8 Easter Egg Hunt (registration 9-10:30) Hunt starts at 11:00 **
April 15 .22 Steel Match 1pm
April 16, 23 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
April 22 Trout Tournament 9am-noon
April 22 Campers meeting –MANDATORY for campers-White Building weather permitting 11am
April 29 Work Day 9am to 1pm
May 13 Range Meeting (MANDATORY) at Pistol Range 10am
May 13 .22 Steel Match 11am
May 13 Catfish Tournament Open to Public 7pm—1am. Food available for purchase
May 19 Work Day Set up for May 20 event 6pm to 9pm
May 20 Family Outing Open to Public registration 8:30 event 10am to 3pm **
May 27 Family Bingo and Movie night 7pm
May 27 Bullseye Shoot Match Kids 5 to 15 11am
May 27 Auction 5pm
May 28 Cannon Ball Golf Cart Race Kids 8 to 15 11am
May 28 Pee-Wee Race Kids 2 to 8 12am
June 3 .22 Steel Match 11am
June 17-18 Open to public fishing
June 24 Catfish Tournament Open to Public 7pm --1am food available for purchase
July 1 Work day-spread mulch
July 1 Private Fireworks
July 7,8 Dealin’ Days (all ranges closed) DJ (7th), Live Music (8th)
July 8 Public Fireworks gate open at 10 am Live Music
July 15 .22 Steel Match 11am
July 22 Lady’s Shoot 10:30 am. Lunch served at 11:30am
July 22 Catfish Tournament Open to Public 7pm --1am Food available for purchase
August 5 Kids Day Fishing Tournament 1pm--4pm (Open to the public) 15 and under
August 12 Arbor Day 10am
August 12 Work day 9am to 1pm
September 2 Kids Golf Cart Race 10am – 11am
September 18 Millersport Kids 10am **
September 19, 22 Pickerington Kids 10am **
September 20, 21 Forest Rose Kids 10am **
September 23 Catfish Tournament Open to Public 7pm to 1am food available for purchase
$20 Entry Fee, Payout every hour
October 7 Work Day 9am to 1pm
October 8, 15, 22 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
October 28 Halloween Party 5 pm (members and guests) bring covered dish—hayride
November 5, 12 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
November 18, 19 Youth Hunt (17 & younger) State Youth Hunt **
December 10 Turkey Shoot—tickets on sale at 11:30am shoot starts at Noon **
December 31 New Years Eve Pot Luck 8pm cards, LCR and money raffle
2023 Dues are now due and MUST be paid by February 28th at 9pm if paying in person
March 1st and forward you must attend board meeting
For proper credit send to PO Box 124 Baltimore, OH 43105 Regular $85.00 Seniors 65 & over $70.00
Website www.fairfieldfishandgame.com and Facebook
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