|
Southwest Florida Sportsman's Association | |
| Physical Address | Mailing Address | |
| 33949 Oil Well Road | P.O. Box 100691 | |
| Punta Gorda, FL 33955 | Cape Coral, FL. 33910 | |
Contact Email Address is: officers@swfsa.org
Date: ____________
I UNDERSTAND THAT BY SIGNING THIS FORM I WILL BECOME A GUEST OF THE SWFSA FOR ONE DAY ONLY, AS DATED ABOVE, AND THAT I WILL HAVE THE PRIVILEGE OF VISITING AND/OR SHOOTING AT THE SWFSA RANGE FOR THAT DAY ONLY.
I ALSO UNDERSTAND THAT I MUST BE ACCOMPANIED BY A SPONSORING CLUB MEMBER AND THAT THERE ARE NO OTHER PRIVILEGES ASSOCIATED WITH THIS “GUEST AGREEMENT”.
I WILL HOLD HARMLESS SWFSA AND ITS’ OFFICERS FROM ALL LIABILITY FOR PERSONAL INJURIES OR PROPERTY DAMAGE INCURRED BY ME DURING THE EXERCISE OF THIS PRIVILEGE ON SWFSA PROPERTY. SWFSA HOLD HARMLESS AGREEMENT TERMS APPLY TO THIS GUEST PASS.
I WILL ALSO BE RESPONSIBLE FOR ALL DAMAGES CAUSED BY ME TO SWFSA PROPERTY.
Guest Signature: ______________________________________
PLEASE PRINT
NAME: __________________________________________
ADDRESS: _______________________________________
APT. #: __________________________________________
CITY: ________________ STATE: _______ ZIPCODE: ______
TELEPHONE NUMBER: ____________________________
Sponsoring Member Signature: _____________________________
Sponsoring Member Print: _________________________________
Option #1 - Sponsor drop the completed form and cash/check in the mail slot located in between Bay 4 & 5 where indicated.
Option #2 - Sponsor mail this completed form with cash/check at the end of the day to the Club Treasurer; S.W.F.S.A. P.O. BOX 100691 CAPE CORAL, FL. 33910
Revised 01/24/2021 Printable Guest Pass Form.pdf