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Please fill out this form completely and mail with your check to:
CCC Inc., P.O. Box 57, Clements, CA 95227
New
Renewal
Address Change
Name: ________________________ Spouse: ____________________
Children & age(s): ________________________________________
___________________________________________________________
Address: __________________________________________________
City: _____________________________________________________
State: _______________________
Zip: _______________________
Phone: (____) _____ - ________ Email: _____________________
Individual
and Family Membership Fee: $45.00. Membership
includes
spouse and children under the age of 18. There
will be NO pro-rated dues. Membership is required
to
participate in club activities.
In consideration
of the acceptance of this membership application,
I (We) hereby agree to join at my (our) own risk
and am/are subject to the rules and regulations
of the Clements Cutting Club, Inc. I (We) release
and hold harmless Clements Cutting Club, Inc., it's
officers, members, guests or persons any way connected
with Clements Cutting Club, Inc. events from any
claim or loss, damage or injury to myself (ourselves),
employees, horses, equipment or vehicles resulting
from my (our) participation in club events.
Voluntary Awards Donation: ______ Total amount due: _______
Signed: __________________________ Date: __________________
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