THANK YOU for your interest in the Rocky Mountain Sportsmen Association.

Fill in the ALL the Information below and click the submit button.
Be sure to also submit the Admission Form.
Mail your payment and Waiver/Release form .
Print out the waiver/release form , sign it and include it with your payment to :
Rocky Mountain Sportsmen Association
7067 South Pierce Court
Littleton, CO 80128

We will e-mail or call you with a confirmation as soon as your check has been received.

 Name or Corporation:
Spouse/Corp designate name:
 Mailing Address:
City/State:
 Zip:
 Permanent Address:
City/State:
  Zip:
 Phone w/area code:
Business Phone w/area code:
 E-mail:

List names and birthdays of dependents eligible for cards.
(Dependents must live in same household)

Dependent name:

Birthdate:
Relation:

Dependent name:

Birthdate:
Relation:

Dependent name:

Birthdate:
Relation:

Dependent name:

Birthdate:
Relation:

Dependent name:

Birthdate:
Relation:

Dependent name:

Birthdate:
Relation:

Your Occupation:

Employer:

Approx. Annual Household Income: (check one)
$15,000-$19,999 $20,000-$29,999 $30,000-$39,999 $40,000 plus

How long have you lived in the state?

Moved from:

Favorite outdoor recreation activity:

List animals you have hunted and those you would like to hunt (include fish).
List your favorite type and experience
in each of the following catagories:
 Hunting:
 Years:
 Camping:
 Years:
 Fishing:
 Years:
SCREENING
Have you ever had a hunting accident? Yes No
Have you ever had a state game or fish violation in the past five years? Yes No

If you answered yes to any of the above questions, please explain:

How well do you know this state's hunting and fishing regulation?
Excellent Good Fair
Would you object to RMSA checking the state fish & game records?
Yes No
Have you ever been convicted of a felony?
Yes No
How concerned are you with conservation and ecology?
Very Somewhat Not concerned

What are you finding outdoors that distresses you?
(Explain your suggestions for a solution if you would like)

Type of property you would use the most: (Pick top 3)
Big Game Waterfowl Fishing Upland General Recreation

REFERENCES

Because members are carefully screened,
we will need the names of four personal references (IN THIS AREA)
who would know something about your outdoor interests, attitudes and conduct.

Name:
 Address:
City:
 State:
  Zip:
E-mail:
Business Phone:

Home Phone:

 Name:
 Address:
 City:
 State:
  Zip:
 E-mail:
Business Phone:
Home Phone:
 Name:
 Address:
 City:
 State:
  Zip:
 E-mail:
 Business Phone:
 Home Phone:

CODE OF ETHICS
1. Has a deep affection for his/her outdoor environment and strives to conserve and protect it.
2. Obeys all game and fish laws of his state and nation and any special restrictions imposed by the club.
3. Is sensitive to the rights and wishes of his/her fellow members.
4. Respects the sanctity of the property he/she uses and obeys the rules established for it's use.
5. Possesses the determination to ever improve his/her outdoor knowledge and skill.
6. Appreciates and enjoys the application of his/her knowledge in pursuing
the quarry as much or more than the kill.
7. Represents the RMSA in such a way as to bring credit to himself/herself and the club.
Do you feel you can abide by this Code of Ethics? Yes No

BASIC FACTS
1. All local, state/ federal hunting and fishing laws apply to all RMSA properties.
2. All Full-Individual/Family Memberships are based on a 12 month period.
3. Reservations are required prior to visiting a RMSA property.
4. RMSA identification, personal and vehicle is required at all times when on a RMSA property.
5. Guests are welcome in the RMSA.
Approval is required from the RMSA office prior to taking a guest on a property.
Guest fee's are the responsibility of the Member and are due in advance.
Guests May or May Not be allowed to huntng day
or weekend of a hunting season.

The preceeding information is true and correct to the best of my knowledge.
I understand the Rocky Mountain Sportsmen Association is not obligated
to accept me has a member. Should I be accepted as a member,
I agree to respect the properties and obey the rules established by the RMSA for their use.

Applicants Signature _________________________________ Date _____________
I understand that if this form is submitted over the internet
my signature on my check and Waiver/Release form
(Both required for membership) will constitute agreement to the above information.
Agree Disagree

Name as it should appear on the certificate:

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