Join

Thank you for your interest in joining the Glen Cove PBA Pistol Range! You do not need to be a resident of Glen Cove to join. Please read the directions below to begin the process of joining our range.

NEW MEMBERSHIP FEE FOR 2025: $271

$216 ANNUAL MEMBERSHIP FEE + INITIAL 1-TIME PROCESSING FEE $55

For our Guest Policy / Registration – Please use the guest form. 

Step 1

Please download the Rules and Regulations, and physically initial and sign them. The initialed/signed document must be scanned / photographed for uploading in the “Supporting Documents” section at the end of the e-form below.

Step 2

Obtain a electronic copy of your valid pistol / rifle permit (i.e. scan or legible photograph), and a passport / profile photograph for your keycard. These documents will be uploaded in the “Supporting Documents” section below. If you are only applying for a rifle membership, the pistol license upload field will not appear. If you are a range officer, please have an electronic copy of your range officer certification as well for uploading.

Step 3

Fill out all fields in the e-form below.

Please enable JavaScript in your browser to complete this form.

- Step 1 of 2

Personal Information

Name *

First

Last

DOB *

Please enter a valid birthdate.

Phone *

Email *

SSN (Last 4 Only) *

Drivers License ID *

Must match with Legal Address!

Legal Address *

Address Line 1

Address Line 2

City

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Zip Code

Membership Info

Membership Type *NewRenew

Firearm Types *Pistol / RifleRifle Only

Range Officer *NoYes

Member Number *

New Member Fee *

Price: $271.00

Renewal Fee *

Price: $216.00

Pistol License

Pistol License # *

Pistol License Expiration *

Supporting Documents

Please upload the following required documentation to complete the application process!

Proof of Pistol License *

Click or drag a file to this area to upload.

Please upload a photo of your pistol license for verification.

Range Officer Certification *

Click or drag a file to this area to upload.

Please upload a photo of your range officer certification.

ID Card Photo *

Click or drag a file to this area to upload.

Please upload a current profile / passport photo for your range ID card.

Initialized Rules and Regulations *

Click or drag a file to this area to upload.

Please upload a copy of your initialized rules and regulations page.

Payment

Coupon

Apply

If you have a class discount code, please enter it here!

Membership Fee *

Order Summary

Item	Quantity Qty	Total
There are no products selected.
New Member Fee	1	$271.00
Renewal Fee	1	$216.00
Subtotal
Total		$487.00

$0.00

Payment Information *

of License Name

Signed Statement

By signing this application, I acknowledge that I have read and understand the rules, regulations, and policies of the Glen Cove PBA Pistol and Rifle Association. I understand that the primary purpose of my membership is to allow for convenient access to the facility primarily for firearms instruction and training but that occasional social/recreational activities may be held. I also give the Glen Cove PBA Pistol and Rifle Association permission to collect information regarding the validity of my United States citizenship, criminal record, and pistol permit information. I have also answered all questions truthfully and to the best of my knowledge.

I understand that any false statements made herein will result in immediate termination of my membership and I may be reported to the appropriate governmental authorities for investigation and/or possible prosecution for wrongdoing under applicable law.

Signature *

Clear Signature

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