Shooting Range Reservation Form 3-15 for web

Longs Peak Council
Boy Scouts of America
Shooting Sports Range Reservation
Scout Unit
Begin Date
Date(s) being
used
City & ST
End Date
Item
Item
Rental
Fee
Item
Rental
Fee
Damage Fees
Trash Hauled
(There is a $50 fee if
you do not haul trash
and clean up litter)
Range Damage
(fee will be assessed
at time of Check out)
Rental
Fee
Office Use Only!
$30 per
$50 per
BDSR Rifle Range 1
day
weekend
$30 per
$50 per
BDSR Rifle Range 2
day
weekend
$30 per
$50 per
BDSR Shotgun Range
day
weekend
BDSR Archery Range
$30 per
$50 per
(Camp Jeffrey)
day
weekend
BDSR Archery Range
$30 per
$50 per
(Soaring Eagle)
day
weekend
$30 per
$50 per
CLP Rifle Range
day
weekend
$30 per
$50 per
CLP Archery Range
day
weekend
$25 per
$50 per
.22 Rifles
day
weekend
We do not provide ammunition, targets or throwers!
Damage
Fee
Office Use Only!
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Fees at reservation (Rental Fee)
$0.00
Total Fees due at Check Out (Damage Fee)
Camp Ranger Signature upon Checkout______________________________________________________
Make checks payable to the Longs Peak Council, BSA
Person Reserving: _______________________________________________________________________
Address: _______________________________________________________________________________
City: _____________________________________ ST: ___________ Zip: ___________________________
Phone (H): ________________________(B) ________________________(C) ________________________
E-Mail: _________________________________________________________________________________
Unit Leader: _____________________________________________________________________________
Phone (H): ________________________(B) ________________________(C) ________________________
Adult First Aid Training*: Name_______________________________________
Date: ___________
Adult LPC Range Officer Training*: Name_______________________________________ Date: ___________
Adult NRA Range Safety Officer Training*: Name_______________________________________
Date: ___________
Adult NRA Instructor Training Training*: Name_______________________________________
Date: ___________
Rifle/Shotgun/Pisol/Muzzleloader ____________________________________________
Adult NRA Instructor Training Training*: Name_______________________________________
Date:
Rifle/Shotgun/Pisol/Muzzleloader ____________________________________________
Adult NRA Instructor Training Training*: Name_______________________________________ Date:
Rifle/Shotgun/Pisol/Muzzleloader ____________________________________________
Adult NRA Instructor Training Training*: Name_______________________________________ Date:
Rifle/Shotgun/Pisol/Muzzleloader ____________________________________________
Adult NRA Instructor Training Training*: Name_______________________________________ Date:
Rifle/Shotgun/Pisol/Muzzleloader ____________________________________________
Adult NAA Instructor Training Training*: Name_______________________________________ Date:
Adult NAA Instructor Training Training*: Name_______________________________________ Date:
*If the Council does not have copies of these certificates on file, the Range Rental will not be approved.
___________
___________
___________
___________
___________
___________
Longs Peak Council Range Use Regulations
We (the Longs Peak Council) will provide:
 Shooting Benches at the Rifle Ranges
 A Trap at the Shotgun Range
You (your Troop/Team or Crew) will provide:
 Any firearms necessary
 All trained personnel for safe operation
 All Eye and Ear Protection
 Trained Personnel
 All Ammunition and Targets
 Trash Removal
What is the Fee to Use a Range?
The Range use fee is $30 per group per weekend. This fee is assessed for each range reserved
and is non-refundable. It is due at the time of reservation of the Range. (Example: A
reservation for a Rifle Range and the Shotgun Range would have a fee of $60).
Who can make a reservation?
*Anyone who has complted the Longs Peak Council, Range Specialist Course may make a
reservation to use a shooting range at a Longs Peak Council Scout Camp.
*You must provide a copy of your Range Specialist Certification Card, along with all necessary
NRA or BSA Certication Cards at the time or reservation. A reservation will not be accepted
wthout proper certification.
Why is there a fee to use the Ranges?
*The cost for maintenance on our Council Facilities continues to increase. It is improtant to us
that we provide a fun and safe atmosphere for everyone using our facilities. To continue to
maintain the equipment and facilites the we have, we need to collect a feww to offset these
How do I complete my reservation?
*Please fill out this form and return to the Longs Peak Council Office in Greeley.
*A reservation form must be submitted at least 14 in advance of the dates you are requesting.
*All reservations for the Shooting Ranges, must be made through the office in Greeley.
*Registrations will not be accepted at any other Service Center or Trading Post. Please return to
the address listed below. Thank you!
Mail Reservation to:
Longs Peak Council
Attn: Shooting Range Reservation
PO Box 1166
Greeley, CO 80632
Fax Reservation to:
970-330-7961
Attn: Shooting Range Reservations
Email Reservation to:
cibatt@bsamail.org