MCSA
Meagher County Sportsmen Association
P.O BOX 582 White Sulphur Springs, MT
59645
MCSA@meaghercosportsmen.com
MEMBERSHIP
APPLICATION
NAME:_____________________________________________
ADDRESS:__________________________________________
CITY:______________________ST.____ZIP:_____________
PHONE:______________________
FAX:_________________
E-MAIL____________________Date
of Birth_____________
Your interest is: Hunting_____Fishing_______Shooting_____________
Archery_________Black
Powder__________Other_______________
Are you currently associated
with any other sporting clubs or organizations? _____________________
Check membership desired below
MCSA Participating Member $25.00__________ MCSA Participating Family
$40.00________
Family membership includes
the individual member’s spouse and children who reside in the same household.
For family memberships,
please list all members under the age of 18 years and the parent or guardian
sign for them.
OVER
MEMBERSHIP CONTRACT-COMPLETE WAIVER AND RELEASE OF
LIABILITY, AGREEMENT TO HOLD MCSA HARMLESS AND ASSUMPTION OF RISK
*** READ CAREFULLY***
In consideration of the opportunity to join, participate in, or observe, the Meagher County Sportsmen’s Association (MCSA) and any and all courses that may be given from time to time for reasonable course fees, or participation in other MCSA events at reasonable or no expense, and in recognition of the best volunteer efforts of all course instructors, officials and sponsors to maintain reasonably safe conditions and rules, I/We the undersigned (individual[s],parent or guardian of the below-listed minor[s] understand that there are risks involved in activities involving firearms) agree to assume, each for ourselves and the below listed minor(s), any and all personal risk to my/ourselves and/or the below listed minor(s) involved in participation in or observation of MCSA events, and further, I/We agree and affirm that I/we do and will hold harmless MCSA, their members, officers, and officials, and any and all course or event Sponsors, and any and all persons involved in organizing and conducting MCSA safety courses and events, for any injury or damage which might be incurred during the course of MCSA safety courses or events. I/We also agree and understand that I/We waive all current and future rights to sue, or collect damages from, the above organization(s) and/or individuals as a result of any injury which I/We or the below listed minor(s) might incur at a MCSA safety course or event.
Finally I/We acknowledge that I/We have read and understand this WAIVER OF LIABILITY, AGREEMENT TO HOLD HARMLESS and ASSUMPTION OF RISK, and that I/We have read and understand, and will comply with, all of the MCSA safety rules and procedures governing MCSA courses and events.
_________________________________ ___________________________ _______
Printed Name ( Parent or Guardian) Signature Date
_________________________________ ___________________________ _______
Printed Name & DOB Signature Date
_________________________________ ____________________________
Printed Name (Minor) DOB Printed Name (Minor) DOB
_________________________________ ___________________________
Printed Name (Minor) DOB Printed Name (Minor) DOB