July 1, 2010 to June 30, 2011
Date of Application___________________________
_______ Individual ($35.00 per Year) ________ Family ($45.00 per year)
(Please note that a family membership consists of one or two parents and their children under the age of 18, individual memberships are for persons 18 years of age and over)
Full Names Date of Birth
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Mailing Address:___________________________________________________
City:________________________ State:________________ Zip:____________
Family Phone:_________________ Business Phone:_______________________
Email Address:_____________________________________________________
Can we call on you to help?
____Pleasure Shows ____Speed Shows ____Jackpot Barrels ____Rodeos _____Office Work ____Concession Stand ____Maintenance ____Construction Admission Gate ____Other___________
I, the undersigned, agree to abide by the Williston Horseman's Association's rules. I am aware that there is absolutely no alcohol allowed on the grounds and any violation of the WHA's rules may cause nullification of my membership. WHA, it's agents, employees, volunteers or officials will not be held responsible for any accident, loss,injury or damage which may occur or be held suffered by an exhibitor, trainer, owner, groom, spectator or attendant, to animals or equipment. Nor will they be held responsible for any loss, stolen, or destroyed articles, whether or not such damage, injury or loss is the result of negligence on the Williston Horseman's Association, it's agents, employees, volunteers or officials. I have received/printed a copy of the Association Rules and agree to abide by them________(initial)
Signed:________________________________________________________________________________________________________
The Williston Horseman's Association is a non-profit organization "SUPPORTING THE YOUTH OF OUR COMMUNITY"
------------------- Below this line to be filled out by the person receiving this membership application------------------------------- Received by________ Amount Received________ Check Number_______ Cash_______ Date Received_________