Welcome to Douglas County Hunting Association

Application

Douglas County Hunting Association

Membership Application

Welcome to DCHA.

Member (and spouse if an active hunter) must fill out application completely and legibly, sign, date and send with dues (Checks made payable to Douglas County Hunting Association). Mail application(s) and payments yearly to: 

     Douglas County Hunting Association

     P.O. Box 1048

     Hiram, GA. 30141

Name: _______________________________    Returning Member#: ___________

                                                                  New Member(s) Check: _________

Address: _____________________________________________________________

City:_______________________________     State: _____ Zip: ____________

Home Phone: ____________   Work Phone: _____________

Cell Phone: ____________________     Email:________________________________

Contact Information in case of Emergency:

Name: ________________________________

Phone #: _____________________

I understand as a member of the DCHA I am hunting at my own risk. I also understand I cannot and will not hold the DCHA or any of its officers/land owners responsible for any accident or damage to person or property. This waiver shall remain in force and renewed automatically for each year during my membership. I will send in an application each year I remain in the club with the appropriate fees.

New members will receive a membership packet ASAP with a gate key.

I have read and agree to abide by the by-laws set forth by DCHA: (initials) ________

Signature: __________________________________ Date: _____________

Application not valid if not signed.

Dues-check your selection: New Member $600.00 _____  

Current Member: Received before May 1st  $500.00 ____

                                After May 1st  $600.00 ____

Electric Fee: Per Camper/Tent or Shelter; $125.00 ___ Campers w/ 2 AC units $160.00____

Please circle the main county(s) you will be hunting:

Coweta           Carroll          Haralson          Taliaferro           Warren

For further information email: dchaboard@att.net.