Washington State Mounted Shooters

Membership Application

Name __________________________________________________________________
Address ________________________________________________________________
City _____________________ State ______________ Zip _______________________
Phone ( ____ ) _____________________  Email _______________________________
Birthday ______________________________   (mm/dd/yyyy required)
Current CMSA Number is required below

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

 

Single or Family** WSMS

 Single WSMS + CMSA

Family WSMS + CMSA

Renewal before 2/15/08

$30

$75

$105

Renewal after 2/15/08

$45

$105

$135

New Membership

$30

$100

$130

*Single... For people who are already CMSA members; for people who do not shoot; or for people who will not be shooting at a CMSA sanctioned match.
**Family: Those living in the same household

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 Washington State 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.)

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 WSMS - 1370 Hunter Road - Ellensburg, WA 98926