Membership Application Form
Shooting Season 2010
Name:______________________________________ Alias: ____________________________
Address:
_________________________________________________Phone: ______________
City:
SASS #:_____________________________
NRA#: ___________________________________
(Please provide your NRA # - this is needed to
maintain our insurance with NRA)
Please provide
your e-mail address. We
send out many announcements and the newsletter by e-mail: _________________________________________________________________________________
Have you completed RO training? (Please circle)
RO 1:
Yes
No
RO 2:
Yes
No
_____ Adult Annual
$
20.00
= _______
_____ Junior Annual
$
10.00
= _______
_____ Senior Annual
$
10.00
= _______
_____ Family Annual (up to 3)
$ 30.00
= _______
_____ Additional Family Annual Member (ea)
$
10.00 x ____
=
_______
_____ Life Member
$200.00
= _______
_____ Senior Life Member
$100.00
= _______
_____ Family Life Members (up to 3)
$300.00
= _______
_____ Additional Family Life Member (ea)
$100.00
x
____
=
_______
Total Enclosed _________
Family memberships -Additional Members:
Name: Alias:
Sass
#:
NRA#:
__________________ _______________________ ___________________ ____________________
__________________ _______________________ ___________________ ____________________
__________________ _______________________ ___________________ ____________________
__________________ _______________________ ___________________ ____________________
Makes checks
payable and send to:
Liability Release Form
(You must sign and date this
form to participate)
I understand that I am participating in a sport,
in which certain 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 this event and the services provided for me by the
Sun River Ranger and its agents, I have and do hereby assume the risks associated with such an event.
I, the contestant , shall, at my 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
by me, the Contestant.
Signature
of contestant or in the case of a minor, Parent or Guardian required.
_________________________________________________________________________
Signature
Date
__________________________________________________________________________________
Signature (Second Adult in Family Membership)
Date