Big Red Outdoors Membership Application

First Name *

Last Name *

Birth Date *

Home Street Address *

City *

State *

Zip *

Home Phone *

Cell Phone

Email Address *

Mailing Address (If different from home address)

Employer *

Phone # *

Employer Address (Street, City, State, Zip) *

Supervisor Name *

Your Job Position *

Hunting Character Reference #1 *

Phone # *

Hunting Character Reference #2 *

Phone # *

Height *

Weight *

Eye Color *

Hair Color *

Driver's License # * 🛈

State *

Date of Expiration *

Are you a citizen of the USA? *

Yes

No

Are you a member of any group opposed to the US Government? *

Yes

No

Do you agree to never accept payment as a guide on BRO land? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Have you ever been convicted/fined for wildlife violations? *

Yes

No

Are you now on probation for any criminal offense? *

Yes

No

Have you ever injured anyone while hunting? *

Yes

No

Have you ever sued anyone for personal injury from any cause? *

Yes

No

Have you ever accepted payment for injuries from any cause? *

Yes

No

Have you ever claimed compensation from anyone for property damage or injury resulting from a hunting accident? *

Yes

No

Have you been treated for addiction to a controlled substance or alcohol within the past year? *

Yes

No

Do you have any physical or mental disabilities which could place you or others at risk of injury where you and others are hunting? *

Yes

No

Have you completed a hunter safety training course? *

Yes

No

If so, list State, year completed and certificate #:

0/200 characters

List all dependents who may accompany you on our land (name, birthdate and relationship). * 🛈

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How did you hear about the club? *

Are you a member of any other hunting clubs? *

Yes

No

Are you a veteran? *

Yes

No

Type of Membership Requesting: *

Promo Code

There is a One Time Initial Membership Fee of $1099 for both the Gold and Silver Memberships. The Turkey Only Membership has a One Time Initial Membership Fee of $599. The Fishing Only Membership has a One Time Initial Membership Fee of $299. Annual Dues: Gold $1,920, Silver $1,560, Turkey Only $1,020, and Fishing Only $600. Any discounts or membership specials will be applied upon application approval.

Name on Credit Card *

Credit Card Number * 🛈

Expiration *

Card Type *

CSC * 🛈

Billing Address *

Billing Zip *

You are completing an application for membership into Big Red Outdoors. There is a $40 non-refundable application fee. This is for the background check for membership. If your membership is approved the amount will be deducted from your Initial Membership Fee. If you are approved for membership then all applicable fees (+ 6.5% sales tax) will be charged to the credit card (plus 3.75% credit card convenience fee) you submit with your application. Once charged, no refunds will be given.

By checking this box you are electronically signing this application and authorizing charges to your credit card provided. *

Electronic Signature