| MOUNTAIN STREAM SADDLE CLUB |
| MEMBERSHIP FORM |
|
NAME ____________________________________________________________ |
| ADDRESS
__________________________________________________________ |
|
__________________________________________________________________ |
| PHONE
____________________________________________________________ |
|
EMAIL ADDRESS:____________________________________________________ |
| MEMBERSHIP:
SINGLE $20.00
o FAMILY $30.00
o |
| NAMES OF ADDITIONAL
FAMILY MEMBERS: |
|
___________________________________________________________________ |
|
___________________________________________________________________ |
|
___________________________________________________________________ |
|
___________________________________________________________________ |
| I
undersigned, do hereby agree to comply with the rules of the
Mountain Stream Saddle Club. I will not hold Mountain Stream Saddle Club, it's officers or members liable for any theft or injury obtained while at a Mountain Stream Saddle Club show or event and releases Mountain Stream Saddle Club from all responsibility. |
| SIGNED________________________________________DATE_______________ |
| SIGNED________________________________________DATE_______________ |
| Parent
or Guardian if under 18: _______________________________________________DATE______________ |
| HOME |