California Desperados Mounted Shooters 2009 Membership Application

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Name _____________________________________________________________________________
Address ___________________________________________________________________________
City _________________________________________ State ______________ Zip ______________
Phone ( ____ ) _____________________  Email __________________________________________
Birthday ______________________________   (mm/dd/yyyy required)
Current CMSA Number is required below for renewals

Membership Dues (Covers January 1st thru December 31st of any calendar year.)    

 

Single or Family**
Desperado Only

 Single
Desperado  + CMSA

Family **
Desperado + CMSA

Renewal before 2/15/09

$25

$85

$115

Renewal after 2/15/09

$25

$95

$125

New Membership

$25

$95

$125

Desperado only membership for people who do not shoot or who will not be shooting at a CMSA sanctioned match or who have already joined CMSA but not as a Desperado Member.    **Family Members must be living in the same household

Annual Desperado Membership  receives the Desperado Digest Newsletter. CMSA Membership includes CMSA Annual Competition Card include: Competition Card,  Decal, Rulebook, Course Book, 1 year subscription to the "CMSA Rundown" Newspaper.

I understand that I am participating in a sport, which contains dangers, and risks may arise, including, but not limited to, accidental injury, the forces of nature and illness. In consideration of the right to participate in these events and the services provided for me by the California Desperados Mounted Shooters and its agents, I have and do hereby assume the risks associated with such events.

The contestant shall at his own expense, defend management and/or all sponsors, their members, or employees from any and all such claims and indemnify, from any and all liability, damage and costs arising from injuries to person or property occasioned by any act or omission of the contestant.

List of Family Members: (Please list additional family members on back of application if needed including CMSA number and birthday.)

Self: CMSA #___________________ Level ___________

Spouse Name ______________________________________ CMSA #_______________ Level_________ Birthday_________________(mm/dd/yyyy)

Dependent Name ___________________________________ CMSA #_______________ Level_________ Birthday_________________(mm/dd/yyyy)

Signature of Applicant Required
 ________________________________________________________Date___________

Print this form and mail with dues to California Desperados 1230 E. Soledad Pass Road, Palmdale, CA 93550-9744