First Name:                                                                                          

Last Name:                                           

Street Address:                                                 


 Cell Phone:                           
Home Phone:                                                                                       

 Emergency Contact:                                                               
 Emergency Contact Number:

 Sponsoring Member:                         

 Birth date:            

 Driver’s License #:                          License State:

 Vehicle: Year:            Vehicle Make:            Vehicle Model:

Vehicle Color:                       Vehicle Tag:           Vehicle State:   

Have you ever been convicted of a game violation?  

 We as a club review and/or vote on all memberships and rules/changes to keep Buck Ridge a quality club.  We are looking for members that are in the best interests of our club (Not just a Paying Member).

 Email Application to:  Chris@buckridgehunt.com 

Full Memberships                       $1250
Youth/Spouse membership   $500 (with a full Member)

Make Checks Payable to BuckRidge 

  Credit Card  add 3% Fee  VIA  Pay Pal

 By signing this application you acknowledge you have read and agree to all the rules.  Any rules broken during the year can be cause for expulsion from the club with no refund.  All stands built on the club become property of the club.