Member Renewal
As in past years, starting now until the end of the year, you can either use this years key or the key for next year to open the gate. After January 1, only next year’s key will open the gate.
NAME ____________________________________________________________________________
ADDRESS __________________________________________ CITY/ZIP ______________ / _______
PHONE NUMBER _____________________ EMAIL _______________________________________
Please indicate which area(s) you would be will to help out (please circle)
Breakfast – Pistol/Rifle Events – Grounds Maintenance – Wild Game Event – Archery Course – Building Maintenance – Trap/Skeet Events – Other___________________________
Dues are as follows:
Regular Dues – 18 years old to 64 years old………………………………………..$70.00 $______________
Senior Dues* – 65 years old and older…………………………………………………$35.00 $______________
Junior Dues – Under 18 years old (no key issued to juniors)………………..$15.00 $______________
Toys for Tots Donation (Club will match 1st $200 of total donations)……………….$______________
Wild Game Event Donation…………………………………..# of Seats _______……………$______________
…………………………………………………………………………………………TOTAL $_____________
*** Please fill out this form and return it with your key and dues. Thank you! ***
* Senior dues: A person must be a member for the previous ten consecutive years to get the senior rate when they turn 65 years old. All 2025 members are grandfathered in (will get the senior rate when they turn 65 years old).
* ALL DUES MUST BE PAID BY THE JANUARY MEMBERSHIP MEETING OR YOU WILL HAVE TO REAPPLY FOR MEMBERSHIP AND PAY THE $20 INITIATION FEE ALONG WITH YOUR REGULAR DUES or PAY THE $1 JUNIOR INITIATION FEE ALONG WITH YOUR JUNIOR DUES !
* Keys are included in the membership fee as long as old key is returned
* Lost keys are a $5 fee
* You will no longer be able to receive your new key in the mail – please DO NOT MAIL IN your old key! Bring the old key and dues to the club. Dues can be paid and keys can be obtained on any Tuesday trap night (5 pm to 6:30 pm), at our November, December or January monthly meetings, on the second Wednesday of month (before the board meeting starts at 7 pm or after the 7:30 pm membership meeting ends), or at the Friday breakfast (9:00 am to 11:00 am) in January that take place prior to the January meeting.
Please visit our website: www.pineriversportsmans.com for updated information on club activities, calendar, pictures and upcoming events
Office use only: Date paid_________________ Card______ Key______ Form Revised 8-15-2026