OPEN DAY GUEST FORM
AND DECLARATION FOR THE PURPOSE OF POLICE REFERENCE
I hereby declare that I am NOT barred from shooting under SECTION 21 of the
FIREARMS ACT, 1968, (and subsequent amendments). I also declare that I will follow
ALL safety instructions given by my host whilst under supervision on the Firing Point.
Please read the notes below before signing.
DECLARATION SECTION 21 IT IS A CRIMINAL OFENCE FOR SOMEONE WHO IS PROHIBITED UNDER SECTION 21 OF THE 1968 FIREARMS (AMENDMENT)ACT TO HAVE A FIREARM IN HIS/HER POSSESSION AT ANY TIME. SECTION 21 APPLYS TO ANYONE WHO HAS BEEN SENTENCED TO IMPRISONMENT, OR DETENTION IN A YOUNG OFFENDER INSTITUTION FOR THREE MONTHS OR MORE. THE PERIOD FOR WHICH THEY ARE PROHIBITED IS FIVE YEARS FOR SENTENCES OF THREE MONTHS TO THREE YEARS, AND LIFE PROHIBITION IF THE SENTENCE IS OVER THREE YEARS.
An Offence will be committed by your Host if he LOANS firearms and/or
Ammunition to someone so barred.
If you are unable to sign, for ANY reason, the club regrets you will
NOT be allowed to shoot.
The Club is required to advise the Police when open days occur. They
have and will do checks.
I have read and understood the above declaration.
Signed: ………………………………………..
Print Name:……………………………………………..
Date: ……………………………………………….
Address: ………………………………………………………………………………….
…………………………………………………………………………………………………………..
Contact Telephone Number: ……………………………………………………
Sponsor Name: …………………………… Membership No…………………………..
…………………………………………………………………………………………………………………………………………
This Declaration must be returned in good time to allow time for all the proper checks to
Be undertaken and also for a member to be allocated for supervision.