This application is required to be completed for all youth who do not have a parent who is a Club members prior to participation in Club activities. FCS youth membership is available to minors (under 18 years old) without regard to race, national origin, age, denominational preference, or political persuasion. Please print and complete all blanks. If not making an apparel purchase mail the completed application to Randy Rowley, FCS President, at 11612 Birchbark Trail, Austin, TX, 78750. If making an apparel purchase mail the completed application and your check for the apparel to Kevin Wall, FCS Treasurer, at 205 Covala Drive, Cedar Park, TX, 78613. If you are purchasing gear please make your check out to FCS. Please do not send cash. This application only has to be completed once (it does not have to be renewed).
Name ______________________________ _ Mailing Address ______ _________________________________
City __________________ State Zip Phone
Work Phone Cell Phone Fax Pager Gender
E-mail addresses ________________________________ _
Where did you hear about FCS? ___ FCS Member, ___ Website, ___ Brochure, ___ Flyer, ___ Promotion at a church, EXPO, etc., ___ Display at Great Hills Baptist Church, ___ Other. If from a brochure or flyer please state where you picked it up at __________________________________________________________________________________________________________________
Please list any skills (including ministerial skills) that you would be willing to share with fellow FCS members _ ________ __________________________________
Please list any pro-hunting and/or pro-fishing organization(s) that you are a member of
If you died today, do you know that you would spend eternity in heaven? Yes ___ No ___ Unsure ___
Please list the name of the church in which you are a member or attend _________ __
Are you currently serving, or have you formerly served, in a staff or lay leadership position in a church? Yes ___ No ___. If yes, please list the position(s) here ________
Youth do not pay membership dues. FCS Polo shirts, FCS T-shirts, FCS caps, FCS mouse pads, and FCS coffee cups, Dove Retreat Caps developed by former FCS President Paul Wilson, FCS Patches, and FCS Magellan button down shirts, are available for purchase and can be mailed to your address (shipping is $3.22 for a shirt and cap, $2.80 per shirt, $1.55 per cap, $.42 per patch, shipping is included in the price of the mouse pads, and shipping and insurance for coffee cups varies based on distance). Please check the FCS Gear page for current inventories to prevent ordering more than we have on hand.
FCS Polo shirts ($12.00 each). Please indicate your size below:
___ 3X-Large, ___ 2X-Large, ___ X-Large, ___ Large, ___ Medium
FCS T-shirts ($10.00 each). Please indicate your size below:
___ 3X-Large, ___ 2X-Large, ___ X-Large, ___ Large, ___ Medium, ___ Small
Preferred logo color _________
FCS Camo caps and Khaki "In Memory of Derrich Pollock" caps ($4.00 each, one size fits all) ___
FCS Khaki caps (without "In Memory of Derrich Pollock" on them) and brown caps ($3.00 each, one size fits all) ___
FCS Mouse Pads ($12.65 each; includes postage) ___
FCS Coffee Cups ($10.00 each) ___ (those who wish to have a coffee cup mailed to them must pay additional postage and insurance - the amount will vary based on distance)
"Dove Retreat 10th Anniversary" caps ($5.00 each, one size fits all) ___
FCS Patches ($1.00 each) ___
FCS "Button Down" Magellan Fishing Shirts ($19.09 each) ___ 3X-Large, ___ 2X-Large, ___ X-Large, ___ Large, ___ Medium. These shirts are available by special order only. These shirts will not be paid for from FCS funds, therefore they must be paid for in advance. Make your check out to me (Randy Rowley) and mail it to 11612 Birchbark Trail, Austin, TX, 78750. Short and Long sleeve are available. The cost for short sleeved shirts (including screen printing) is $19.09 (shirt = $16.23 and screen printing = $2.86). Long sleeved shirts cost $2.17 more. 3XL and larger sizes cost $2.17 more. As an alternative you can bring me (Randy Rowley) a button down shirt that you already have and I will get it screen printed for you for $2.86 (the shirt must have a Velcro closure on the back - it cannot be sewn). We do not keep an inventory of these shirts. They will only be ordered with a regular shirt order of 24 or more T-shirts (we order shirts about twice a year). Postage to mail these shirts is $2.74 each.
For all gear purchases except the Magellan Fishing Shirts please make your check out to FCS and mail it to Kevin Wall, FCS Treasurer, 205 Covala Drive, Cedar Park, TX, 78613 along with your order.
For Magellan Fishing Shirts please make your check out to Randy Rowley and mail it to 11612 Birchbark Trail, Austin, TX, 78750.
Please do not send cash. If you would like to have an item(s) shipped to you please indicate the address that you would like it (them) shipped to.
Membership Covenant
I have read and will uphold the FCS Statement of Faith and Bylaws regarding Conduct and will conduct myself as a Christian sportsman on FCS outings. I wish to be granted FCS youth membership.
Signed ______________ _____ __________ Date ______________
FCS presently has two chapters – an Austin Chapter and a Buda Chapter.
___ I would like to be affiliated with the Austin Chapter.
___ I would like to be affiliated with the Buda Chapter.
___ I do not want to be affiliated with a chapter.
Note to parents/guardians
If you allow your child to participate in FCS events, he/she will be participating in potentially dangerous hunting, shooting, and/or fishing activities. By signing below you agree to indemnify and hold harmless FCS and all land owners/outfitters used by FCS from any claims of damage to property or personal injury concerning your child.
All hunting, shooting, and fishing will be conducted in strict accordance with the relevant regulations of the laws of the State of Texas, the rules of the land owner/outfitter, and the FCS Field Rules. By signing below you agree to indemnify and hold harmless FCS and all land owners/outfitters used by FCS from any and all activities and the results thereof in violation of such laws and regulations.
My child has permission to participate in FCS events.
I grant permission for the following contact information to be posted on the FCS Website's (password protected) Directories: ___ e-mail address, ___ address, ___ phone numbers.
Parent/Guardian Permission ___________ __________ Date ______________
My child has permission to buy FCS gear.
Parent/Guardian Permission ___________ __________ Date ______________
Sponsor Commitment
By signing below I agree to closely supervise the above youth at all FCS activities that he/she attends and educate him/her on the rules of safe weapon/rod handing, the laws of the State of Texas, and the rules of the land owner/outfitter.
Signed ______________ _____ __________ Date ______________