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.
