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BCLEA (2026)
RENEWAL ONLY APPLICATION
PLEASE VERIFY EMAIL IS CORRECT

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RENEWAL $153.00
***UNLESS YOU PARTICIPATED IN FUNDRAISING EVENT*** 
SOLD or BOUGHT (RAFFLE TICKETS) or ATTENDED THE FUN SHOOT.  
RENEWAL IS $100.00

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Brunswick County Law Enforcement Association Range

Safety Certification Statement of Understanding &

RELEASE AND HOLD-HARMLESS AGREEMENT

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STATE OF NORTH CAROLINA

COUNTY OF BRUNSWICK

For and in consideration of access to the premises and participation in/observation of the shooting sports at the Brunswick County Law Enforcement Association, (BCLEA) the undersigned:

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1. Acknowledges receipt of the BCLEA members rules and attests that he/she has read the content of the rules and agrees to abide by the range safety and all BCLEA rules stated therein.

 

2. Acknowledges that shooting sports have inherent risks of personal injury which risks the undersigned recognizes and assumes.

 

3. Does hereby for their self, their heirs and personal representatives covenants and agrees to release and hold harmless the Brunswick County Law Enforcement Association, it’s officers, directors, members and sponsors for any and all liability for personal injuries sustained while on the premises of the B.C.L.E.A. property.

I have read the B.C.L.E.A members rules and the Release and HOLD-HARMELESS AGREEMENT, understand them and what is required, and agree to abide by and honor these rules and agreement as a member of the club, or risk termination of my membership.

Thanks for submitting!

BCLEA RENEWAL APPLICATION
BOTH FORMS MUST BE FILLED OUT
BEFORE MAKING A PAYMENT!!!

Select payment button that applies to ASSESSMENT REQUIREMENT.  HONOR SYSTEM

ASSESSED (153.00)
PAYMENT ONLY

©2024 BY BRUNSWICK COUNTY LAW ENFORCEMENT ASSOCIATION. PROUDLY CREATED WITH WIX.COM

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