Application for membership

APPLICATION FOR MEMBERSHIP 

 

Lovettsville Game Protective Association 

16 S Berlin Pike – PO Box 101 

Lovettsville, VA  20180 

540-822-5997 

 

2017 

 

 

The Lovettsville Game Protective Association’s purpose is to operate a non-profit organization in a way 

beneficial  to  wildlife  and  the  community  to  unite  landowners,  sportsmen  and  citizens  in  an  effort  to 

restore  and  preserve  wildlife,  all  directed  toward  providing  the  community  with  better  and  more 

worthwhile sports and recreation activities. 

 

To apply for membership in the Lovettsville Game Protective Association, applicant must: 

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Be at least 21 years of age; 

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Be sponsored by an active member in good standing; 

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Be willing to volunteer at least 60 hours and attend at least 6 club meetings each year; and 

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Not have been convicted of a violation of game laws. 

 

Applicant  must  complete  a  probationary  period  of  6  months  before  being  granted  full  membership 

privileges.    To  satisfy  this  requirement,  applicant  must  volunteer  at  least  12  hours  and  attend  at  least  3 

club meetings during this 6 month probationary period. 

 

A  non-refundable  application  fee  of  $55.00  is  required  at  time  of  application.    Application  fee  includes 

annual membership dues of $30.00. 

 

Name:  ________________________________________________ 

Age:  ___________ 

Address:    _________________________________________________________________________ 

 

 

_________________________________________________________________________ 

Phone Number:  __________________________ 

E-mail Address:  ____________________________________________________ 

Have you ever been convicted in any state for violation of any game laws?  No: _____ 

Yes: _____ 

If “Yes”, explain:  ____________________________________________________________________ 

___________________________________________________________________________________ 

___________________________________________________________________________________ 

 

I have read and agree to the requirements for membership as stated above. 

 

Signature: ___________________________________ 

 

 

Date: ______________ 

 

Recommended By: ____________________________________________________ 

 

For Club Use: 

Date Voted: _______________ 

Approved: ______ 

 Disapproved: _______