Affiliation Application Form Page 2
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4CMP Affiliation Application Form
Page 2 Updated 09/23/2014
Membership or Youth Participants. Give the
number of current adult and youth members. Teams
_______ Adult members or leaders
or camps may give an estimated number of youth
_______ Junior members or participants age 20 and
participants. Senior clubs must have a minimum of
below
10 members. All other organizations must have a
_______ College teams or clubs only, members or
minimum of 10 members or participants, age 20 and
participants age 27 and below
below (age 27 and below for college teams or
clubs).
Leadership. Each CMP affiliate must have one or
more adult leaders. Please provide the name and
Name___________________________________________
contact information for the primary leader of your
organization (president, officer-in-charge, team
Title____________________________________________
coach, director, etc.).
Date of Birth______________________________________
Address_________________________________________
City/State/Zip_____________________________________
Phone(day)______________________________________
Email___________________________________________
CMP Contact Person. Please provide the name
and contact information for the adult leader who
Name___________________________________________
should receive all official communications regarding
your CMP affiliation. This person may be the club
Title____________________________________________
secretary, junior director or chairman, program
director or other responsible adult. If the person
Date of Birth:_____________________________________
listed as the primary leader above is also the CMP
Contact Person, write ‘same’ in the name line.
Address _________________________________________
City/State/Zip_____________________________________
Phone (day)______________________________________
Email ___________________________________________
Instructor/Coach. Each CMP-Affiliate must have at
least one qualified instructor who is responsible for
Name_________________________________________
presenting firearms safety and marksmanship
instruction to members or youth participants. Please
Title ____________________________________________
provide the name and contact information your chief
instructor or coach. In small organizations, the
Date of Birth:_____________________________________
instructor or coach may be the same person who is
identified as the organization’s primary leader
Address_________________________________________
above. A new organization that does not have a
trained or qualified instructor or coach available
City/State/Zip_____________________________________
must identify an adult leader who agrees to obtain
appropriate training as soon as possible (contact the
Phone (day)______________________________________
CMP Program Support Division to obtain
information about possible training opportunities).
Email __________________________________________
Please describe the qualifications or training of your primary instructor or coach.
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