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Black Bear Shooting Complex

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Gun Powder

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New Member: Application for Membership

This application is your first step to earning membership into Black Bear Shooting Club.

Once completed and submitted with your application fee, your information will be reviewed by the membership committee.

You can expect an initial decision in 2-3 weeks.

Legal First Name*

Legal Last Name*

Date of Birth*

Month

Day

Year

Home Address

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Email*

Phone*

Occupation*

Employer*

Emergency Contact Information

Emergency Contact Name*

Relation*

Emergency Contact Phone Number*

Your Background & Experience

Veteran?*

Yes

No

How would you rate your shooting experience level? *

Beginner (0-2 years)

Intermediate (3-5 years)

Advanced (5-10 years)

Expert (10+ years)

What disciplines are you primarily interested in?*

Long-Range Precision Rifle

Tactical Rifle

Defensive Pistol

Competition Shooting

Hunter Preparation

Land Navigation

Medical Courses

Other

Do you have experience with long range shooting (800+ yards)*

Yes

No

Please describe your shooting background and experience*

Do you have any relevant certifications or training?

NRA Instructor

NRA RO/RSO

Military Training

Law Enforcement Training

Competitive Shooting Experience

Gunsmithing

Hunting Education

Other

Have you been a member of other shooting clubs/ranges?*

Yes

No

Legal Information

Are you legally able to own and operate firearms in the United States? *

Yes

No

Have you ever been convicted of a felony?*

Yes

No

Are you currently subject to a restraining order, protective order, or any other legal restriction that would prohibit you from possessing firearms? *

Yes

No

Membership Information

How did you hear about Black Bear Shooting Complex/Club?*

Why are you interested in joining Black Bear Shooting Club? *

Preferred membership payment schedule*

Annual ($250)

Monthly ($25)

Following application approval, new members are required to pay a one time initiation fee of $750 in addition to their first membership dues payment

Would you be interested in participating in BBSC events and competitions? *

Yes

No

Uncertain

Additional Information

Do you have any special skills or expertise that might benefit BBSC?

Is there anything else you would like us to know about your application?

Acknowledgments

I acknowledge that I have read and agree to abide by the BBSC

Rules and Standard Operating Procedures

I understand that my membership application will be reviewed by the BBSC membership committee and that submission of this application does not guarantee acceptance

I acknowledge that, upon approval, I will be required to pay a onetime initiation fee ($750) in addition to my membership dues.

I confirm that all information provided in this application is accurate and complete

Signature*

Sign in the box or use the keyboard to type.

Signature field is empty.

Application Fee

$50

This fee is required for application and is not a gurantee of membership, nor does it go towards your initation fee or membership dues.

Black Bear Shooting Club

Black Bear Shooting Complex

2319 W James Anderson Hwy
Gladstone, VA 24553

Hours of operation

Mon-Fri: Appointment Only

Sat-Sun: 9:30am - 5:30pm

Phone: (804) 332-4881

Email: BlackBearSC@Proton.me

© 2025 HAC Security LLC | Black Bear Shooting Complex - All rights reserved

Membership Policy

Rules & Operating Procedures

Terms & Conditions

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