New Membership Application

Please fill out the form below to be considered for membership at Blue Hills.
To be accepted as a member of Blue Hills, you must also sign up as a member of the Sporting Shooters Association of Australia,
with Blue Hills Sporting Shooters as your Preferred Branch/Club.
You can join here: SSAA Membership Portal – Join the SSAA – Application Form

SSAA Blue Hills Membership Application Form

Your Name *

First

Middle

Last

SSAA #

All club members must be members of SSAA, with T13 as their Primary Branch.

Firearms License #

Previous shooting club(s) and experience *

Why you would like to join Blue Hills/What experience you are looking for?

Personal Information

Date of Birth *

Phone Number *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Information

Emergency Contact Name *

First

Last

Emergency Contact Relation *

Emergency Contact Phone *

Medical Conditions

Please list any conditions we may need to be aware of to ensure your safety at the range.

Referees

A referee should be someone who has known you for a reasonable period of time (preferably at least 12 months), is not an immediate family member and does not live with you.

Referee #1 *

First

Last

Referee #1 Phone *

Referee #2 *

First

Last

Referee #2 Phone *

Membership type: *

Individual Membership - $ 200.00
Junior Membership (U18) - $ 0.00

You will be invoiced this amount once accepted as a member by the club.

Mailing List

I would like to receive the What's On newsletter and other periodic communications from Blue Hills.

Acknowledgement *

This application is made in full recognition of the Club’s requirement for responsible and ethical behaviour. I understand that members breaking the Code of Conduct may be subject to suspension or expulsion. The Code of Conduct can be found at ssaabluehills.org.au/code

Privacy

SSAA Blue Hills collects personal information of members. The information you provide on this form will only be disclosed to the Committee on application for membership. SSAA Blue Hills’ privacy policy can be found at ssaabluehills.org.au/privacy You can obtain access to your personal information by writing to: SSAA Blue Hills, PO Box 400, Sorell TAS 7172. Refund Policy: Subject to Australian law, membership fees are not refundable, nor can they be transferred.