MDRGC Website Registration Form

This registration form is used by MDRGC Members to request access to the “Members Only” section of this website.  You must be registered to use the Forum and view posts for Members.

SPECIAL NOTE: Only members who are in GOOD STANDING will be given access to the Member’s Only area of the site.

• User Details

• Username* Usernames cannot be changed.
• First Name* This first name MUST match the name on your official government ID (DL / PAL / PASSPORT).
• Last Name* Your last name MUST the exact name found on your officel government ID (DL / PAL / PASSPORT).
• Nickname
• Primary Member Membership Card ImageUpload Please upload a clear headshot of the primary member on your membership card.
• Second Adult Membership Card ImageUpload If applicable, please upload a clear headshot of the second adult on your membership plan.
• First Dependent Membership Card ImageUpload If applicable, please upload a clear headshot of the first dependent on your membership plan.
• Second Dependent Membership Card ImageUpload If applicable, please upload a clear headshot of the second dependent on your membership plan.
• Third Dependent Membership Card ImageUpload If applicable, please upload a clear headshot of the third dependent on your membership plan.
• Fourth Dependent Membership Card ImageUpload If applicable, please upload a clear headshot of the fourth dependent on your membership plan.
• Address*
• City*
• Province* BCABSKMBON Select Province
• Postal Code*
• Date of Birth*
• Phone* Required phone number format: ###-###-####
  
• Mobile Phone Required phone number format: ###-###-####
  
• E-mail*

• Email List Op-In

  The MDRGC has implemented an email system to allow effective communication with our members. You can decide here whether to be part of this mailing list.

  Remember, this is the best way to stay connected for important notices from the club.

  We will NEVER sell your information to a third party for marketing purposes.

• Email Subscription Service Opt-In
• Possess PAL* Select OneYESNO If you are purchasing a membership that allows for the use of a firearm, you must possess a PAL. Please state yes or no.
• PAL Number - Primary* Current Valid PAL Number of the Primary Member. DO NOT USE NUMBERS TO RIGHT OF DECIMAL.
• PAL Expiry Date - Primary* Expiry date of PAL for Primary Member.
• PAL Restricted - Primary* Select OneYesNo Does the Primary Member have an RPAL?
• Volunteer* Select OneYESNO - I Will Donate During Purchase PLEASE READ CAREFULLY. We are a member run club and Volunteers are essential to our success. If you don't wish to volunteer, we ask for a minimum donation in lieu of volunteering. Please note the amount will be requested when you are purchasing your membership. This is simply for us to know what areas if any you are able to assist with.
• Volunteer Areas of Interest*
  • Administrator
  • Carpenter
  • Concrete Finisher
  • Construction
  • Data Entry
  • Electrician
  • FA Instructor
  • Finance
  • First Aid
  • HD Equipment Operator
  • HD Mechanic
  • IT
  • Line Worker
  • Mason
  • Metalworker
  • Other
  • Painter
  • Plumber
  • Sawyer
  • Welder
  • Youth
• Notes Specify Other
• Disciplines of Interest*
  • 100m 22 RFBR
  • 3-Gun
  • 50m 22 RFBR
  • Airgun Field Target
  • Archery Range
  • BCWF
  • Black Powder
  • Cowboy Action Range
  • F-CLASS ISSF
  • Fishing
  • Hunting
  • IDPA
  • Pistol Range
  • Rifle Range
  • Shotgun Range
  • Silhouette
  • Speedsteel
  • Youth/Junior Program
  What shooting disciplines are you interested in?
• Membership Type:* Select OneFamilyIndividualJuniorSeniorSenior CoupleStudent Select the type of Membership you will be purchasing. This will allow you to enter the names of the family members on the membership if needed. PLEASE USE THE NAME AS IT IS FOUND ON YOUR OFFICIAL PICTURE ID (DL / PAL / PASSPORT).
• Spouse Full Name Full name of Spouse on a Family or Senior Couple membership. MUST BE EXACTLY AS SHOWN ON GOVERNMENT ID (DL / PAL / PASSPORT)
• Spouse Birthdate Please provide the birthday of the Spouse on any Family type of membership
• Spouse PAL Number PAL Number of the Spouse on Family or Senior Couple Membership if they posses one
• Spouse PAL Expiry Date PAL Expiry Date of your Spouse
• Is Spouse's PAL Restricted Select OneYESNO Do you possess a Restricted PAL?
• Full Name of First Dependent Full name of First Dependant EXACTLY AS IT APPEARS ON GOVERNMENT ID.
• First Dependent Birthdate REQUIRED INFO: If missing info this could delay the processing of your application. Please provide the birth date of the your first dependent under 18 years of age if on a family membership.
• Full Name of Second Dependent Full name of second dependent on a Family membership. This must EXACTLY MATCH THE NAME ON GOVERNMENT ID.
• Second Dependent Birthdate REQUIRED INFO: If missing info this could delay the processing of your application. Please provide the birth date of the your 2nd dependent under 18 years of age if on a family membership
• Full Name of Third Dependent Full name of third dependent on a Family membership. MUST EXACTLY MATCH NAME ON GOVERNMENT ID.
• Third Dependent Birthdate REQUIRED INFO: If missing info this could delay the processing of your application. Please provide the birth date of the your 3rd dependent under 18 years of age if on a family membership
• Full Name of Fourth Dependent Full name of third dependent on a Family membership. MUST MATCH EXACTLY THE NAME ON YOUR GOVERNMENT ID (DL / PAL / PASSPORT).
• Fourth Dependant Birthdate REQUIRED INFO: If missing info this could delay the processing of your application. Please provide the birth date of the your 4th dependent under 18 years of age if on a family membership
• Full Name of Fifth Dependent Full name of fifth dependent on a Family membership. MUST MATCH EXACTLY THE NAME ON YOUR GOVERNMENT ID (DL / PAL / PASSPORT).
• Fifth Dependant Birthdate REQUIRED INFO: If missing info this could delay the processing of your application. Please provide the birth date of the your 5th dependent under 18 years of age if on a family membership If you have MORE THAN 5 dependents, please contact the Registrar so we can help you get them entered (:
• Create a Password* Create a password for your account. Minimum length of 8 characters.
  The password must have a minimum strength of Medium.Strength indicator
• Repeat Password* Type your password again.
• I'm Not a Robot*

• Send these credentials via email.