Kennesaw Archery Club
Membership Application / Renewal
Please Print
Name____________________________________ Date___________
Address__________________________________ City_______________ St.____ Zip_______
Telephone ( )______-_______ Email Address__________________________
County of Residence___________________________ Do you pay city taxes where you live? Yes___ No____
Renewal ( ) New ( )
Adult Single: $25.00
Junior (<18): $10.00
Family: $40.00 (immediate family members only )
In addition to the annual membership fee,Cobb County imposes a non-resident fee of: $25.00
if you live outside of Cobb County which is not prorated.
For family membership, please list names.
Include date of birth for those under 18.
Name______________________________________________________ DOB________________
Name______________________________________________________ DOB________________
Name______________________________________________________ DOB________________
Name______________________________________________________ DOB________________
Single Individual Lifetime membership: $250.00
Membership is from July 1 through June 30 each year. You may pro-rate the amount due based on time of joining.
(ex:$2.08 per month or partial month as adult single) + out of county fee if applicable.
Membership allows range privileges, but does not include any class fees. Classes /events posted on calendar take precedent over range access.
All members of the Club work together and share the work load to keep the range maintained, so please do your part! Various responsibilities may be assigned (target maintenance, range clean-up, tournament duty, etc.)
Membership meetings will be posted on the website:www.kennesawarchery.org. The Kennesaw Archery Club Newsletter is the mode of communication for the club and is posted on the website along with Bulletin Board announcements, or home page notices.
Guests may shoot on club ranges only on two separate occasions while accompanied by a current member and then must become a member to shoot at the ranges.
NO BROADHEADS allowed on Target or Field ranges.
Please twirl the lock combo for security measures upon exiting range.
Total Amount due $_______
Make check payable to:
The Kennesaw Archery Club, Inc.
P.O. Box 1751
Kennesaw, GA 30144
Jefflyne Potter – President (770) 422-0806
Shawn Lovell – Vice President (678)855-1676
Don Edwards - JOAD Director (770)-420-3040
Chris Tackett- JOAD Director
Susan Hagerty – Secretary & Treasurer (678) 290-5205