$50 Redner’s Gift Card Raffle Winners have been chosen! See the bottom of our home page for who won!
DAILY HOURS OF OPERATION ARE 8:00 AM TO DUSK. CHECK OUR EVENTS LIST FOR MORE INFO.
Attention: All members who use the association, and it’s facilities must be members of the association or the paid guest of an active member.

Register

PERRY TOWNSHIP GAME ASSOCIATION APPLICATION FOR MEMBERSHIP

I desire to become a member of the PTGA, Route 662 between Shoemakersville and Moselem Springs. I certify that I am at least 12 years of age (Junior member) or over 16 years of age (Regular member) and that I am a citizen of the United States of America.

If you would like to mail the completed form and payment to us instead, return the completed form along with check drawn in the correct amount to the Perry Township Game Association, P.O. Box 324, Shoemakersville, Pa. 19555.

Member Application Form

*
First Name
First Name can not be left blank.
Please enter valid data.
This first name is invalid. Please enter a valid first name.
*
Last Name
Last Name can not be left blank.
Please enter valid data.
This last name is invalid. Please enter a valid last name.
*
Street Address
Text field can not be left blank.
Please enter valid data.
*
City
Text field can not be left blank.
Please enter valid data.
*
State
Text field can not be left blank.
Please enter valid data.
*
Zip
Text field can not be left blank.
Please enter valid data.
*
Age
Text field can not be left blank.
Please enter valid data.
*
DOB
Text field can not be left blank.
Please enter valid data.
*
Phone
Text field can not be left blank.
Please enter valid data.
*
Email Address
Email Address can not be left blank.
Please enter valid email address.
Please enter valid email address.
This email is already registered, please choose another one.
*
Occupation
Text field can not be left blank.
Please enter valid data.
*
Date of Application
Text field can not be left blank.
Please enter valid data.
*
Electronic Signature
Text field can not be left blank.
Please enter valid data.

If you would like to mail the completed form and payment to us instead, return the completed form along with check drawn in the correct amount to the Perry Township Game Association, P.O. Box 324, Shoemakersville, Pa. 19555.

Member Application Form

Upon receipt, your application will be brought up for a vote for approval at the next regular meeting of the Association on the last Tuesday of the month before you receive a formal card. Be sure to use a deliverable mail address above. Keep a copy of this completed form as your temporary membership card. You can use club facilities as soon as the check is in the mail.

Contact Bob Sproesser at 610-756-4328 if you have any questions or need additional information.

Avatar
Please select file.
Invalid file selected.
Invalid file selected.
*
Username
Username can not be left blank.
Please enter valid data.
This username is already registered, please choose another one.
This username is invalid. Please enter a valid username.
*
Password
Password can not be left blank.
Please enter valid data.
Please enter at least 6 characters.
    Strength: Very Weak
    Submit