Membership

Southern Cross Hunt Club Membership Form

You may copy and paste this form or you may use the downloadable form in the "Menu". 

Please Print and Fill Out, then Mail, E-Mail(as an Attachment) or Fax  To: “Southern Cross Hunt Club”  c/o Robin Clark 4806 San Juan Avenue Jacksonville, Florida 32210    Fax: 904-389-8864.  

Email: southerncrosshuntclub@yahoo.com    

Name: ______________________________________ Age:___________    Address:____________________________________________City:_______________   State:__________________

 Zip Code__________   Phone:(H)_______________________ (C)__________________________    

E-Mail Address:_______________________________________    

Type Of Employment:____________________________________________     

Spouse:__________________________________________    Age:___________    

Number of Children: _______ Ages: ________________________________   

 Please Tell Us about Yourself, Your Experience and What Your Looking For:  

You’re Hunting Experience Level? Old Hat_____ Moderate_____ Newbie_____ 

How Many Years Have You Been Hunting?________ 

How Many Hunting Clubs Have You Been In?_______ 

Have You Ever Been Charged With Any State Game Violation? __________

Is "QDM" Something That You Believe In? __________  

Do You Enjoy Work Days & Participation in Club Needs? _________   


Please Tell Us about Yourself:   

      







 I have read the "Southern Cross Hunt Club” Basic Regulations and the "QDM" measures.    

Signature: _________________________________________ Date: ___________