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    Membership Application

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    aggy_dee
    The document is a membership application for the Shelby County Western Riders. It requests contact information from applicants and details that annual membership dues of $15 are due by January 1st each year, or $20 if paid after March 1st. It includes a liability waiver releasing the organization from responsibility for any accidents. A separate section addresses youth membership, with $2 annual dues and a similar liability waiver signed by a legal guardian. Instructions are given to mail the completed form to the treasurer.

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    Membership Application

    Uploaded by

    aggy_dee
    67 views1 page
    The document is a membership application for the Shelby County Western Riders. It requests contact information from applicants and details that annual membership dues of $15 are due by January 1st each year, or $20 if paid after March 1st. It includes a liability waiver releasing the organization from responsibility for any accidents. A separate section addresses youth membership, with $2 annual dues and a similar liability waiver signed by a legal guardian. Instructions are given to mail the completed form to the treasurer.

    Original Description:

    Membership Application for Shelby County Western Riders Saddle Club

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    The document is a membership application for the Shelby County Western Riders. It requests contact information from applicants and details that annual membership dues of $15 are due by January 1st each year, or $20 if paid after March 1st. It includes a liability waiver releasing the organization from responsibility for any accidents. A separate section addresses youth membership, with $2 annual dues and a similar liability waiver signed by a legal guardian. Instructions are given to mail the completed form to the treasurer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    67 views1 page

    Membership Application

    Uploaded by

    aggy_dee
    The document is a membership application for the Shelby County Western Riders. It requests contact information from applicants and details that annual membership dues of $15 are due by January 1st each year, or $20 if paid after March 1st. It includes a liability waiver releasing the organization from responsibility for any accidents. A separate section addresses youth membership, with $2 annual dues and a similar liability waiver signed by a legal guardian. Instructions are given to mail the completed form to the treasurer.

    Copyright:

    © All Rights Reserved
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    "
    Shelby County Western. Riders Membership Appl.ication
    Name:
    - - - - - - - - - - - - - - - - - - - - ~- - - - - - - - ~- - - - - - ~- - - - - - - - - - ~~
    Na~e: __ ~ ~ ~----~--~
    Address: __ ~ __' ____" __ _
    Phone: ( '-- ------------------ __ ------- __ -
    .: ... S.mail:__ ------------_----------------~--------------~---
    . Membership dues of $15.00.perperson are due J anuary tst of each year. Dues'
    paid after March 1st will be $20.00 (excluding new memberships).
    I hereby release and hold harmless the Shelby County Western Riders, its officers,
    directors and members from any claim, legal liability, legal action or right for
    damages, for any accident which may occur to me, my equine animal or my personal
    property while attending an event sponsored by or on the property of the,
    Shelby County Western Riders.
    I
    Date Signature
    Please fill this out for J unior Members
    \ -
    Name: --------~~ __ ------------------ __ ------------
    Name: __ ~ ~ -------------- ~---------- __ --_
    Address:
    - - - - - - - - - - - - - - - - - - - - - - - - - - ~- - - - - - ~- - - - - - - - - - ~- - -
    ,,-:
    . Phone: ( ) -,-" c ,_ ,_ , .c _ ._ _ --
    Email:
    - - - - - - - - - - - - _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
    Sponsor: __ --'- _
    Membership dues of $2.00 per youth are due J anuary 1st of each year.
    I herftbr release and hold harmless the Shelby County Western Riders, its officers,
    direcior~::i.and members from any claim, legal liability, legal action or right for
    damages, for any accident which may occur to my dependant, his/her equine animal
    or his/her/my personal property while attending an even; sponsored by or
    on the property of the Shttlby County Western Riders.
    Please mail form to:
    Bill Taylor, Treasurer
    1612E Freeport Road
    Morristown, IN 46161
    The SCWR newsletter is published each month on our
    ~ website at shel byc ount\'westernriders:webs.c or:n
    As part of your membership, you \/ViI Ireceive tne
    newsletter each month. Please indicate your preference:
    [] As an email attachment (PDF format)
    [ ] Hard copy in the mail.
    Signature of legal guardian
    ~- - - - - - - - - - - - - - - - - - - - - ~- - - - - - - - - - - ,
    Date

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