Report a Safety Infraction

Range Rules Violation or Safety Infraction Report Form

If you see a safety infraction at the Range, please use this form to report it.
The Range Committee takes all infractions seriously and will be dealt with in an appropriate manner.
"*" Indicates Required Fields

Date of the infraction: *(YYYY-MM-DD)

Time of the infraction: *

Hour

Minute

Range the infraction occurred on: *

Type of infraction: *(please select all that apply)Disobeying range rulesDisregarding active/safe range statusDamaging range propertyNot cleaning upMuzzle control violationUnsafe handlingBelligerence/ Harassing BehaviourOther

Name of person(s) involved (if known):

Member # of person(s) involved (if known):

Were any guests involved in the infraction? *YesNoUnsure

Please, describe the situation: *0 / 1500

Your full name: *

Your membership number: *

Your email address: *

Your phone number:

Witness Name:

Upload any photos:Accepted file types: jpg, jpeg, png, gif, heic, Max. file size: 5 MB, Max. files: 3.

Drag and Drop (or) Choose Files

Acknowledgement *I acknowledge that the information in this form is correct and accurate to the best of my knowledge and that I will be contacted by the Board of Directors for further information.

Covid-19 Measures
Privacy Policy
Contact Us
How to Find Us

Postal Address

Dufferin Northern Peel Anglers & Hunters
PO Box 62,
Orangeville, Ontario
L9W 2Z5

Location

Dufferin Northern Peel Anglers
& Hunters Association
246147 Dufferin Road 16, Mono
Dufferin County, ON
L9W 3A8