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Dues per year: $34.00 for a family membership (living @ home)
$28.00 for an individual membership
(Lifeflight is an additional add on option see that portion of application for your cost)
Send completed application to: TVBCH C/O Alice Millington
800 W. Concord Street Middleton ID 83644
Name:___________________________________Phone:_____________
Additional family members______________________________________
Address:____________________________________________________
street city state zip
E-mail address:______________________________________________
Please answer the following questions, which help in planning meetings,
activities and projects.
What type of demonstrations &/or information would you like to have at monthly meetings?____________________________________________________
What level do you consider yourself to be in camping, riding and packing?
___beginner ___some experience ____experienced
What activities would you be interested in helping with?
_____Organizing Rides, work projects/other ____Trail Maintenance
_____Meeting demonstrations/information ____Promotions/education
_____Banquets/Parties/Social Events ____Phone Calls
_____Serving on Board of Directors/Officer ____Newsletter
__________________________________________________________
For your information: LifeFlight Group Membership is available to all TVBCH Members at a cost of $10 per adult and $3 for each child. If you wish to have LifeFlight membership, please contact Keith Lambrecht at 888-1392 for information.(you can add this fee to your membership fee and send in one check to Alice-be sure to include date-of-birth for each LifeFlight membership)
_________________________________________________________
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Applicants 18 years of age and over please read the following paragraph carefully and sign below. If a family membership if being applied for, then all adults over the age of 18 living in the household are required to sign. Thank you! Recognizing the fact that there is a potential for accidents whenever livestock use is involved which can cause injuries to riders, livestock and spectators and also recognizing the fact that Back Country Horseman Chapters, Officers, Directors or members cannot always know the condition of trails or the experience of the riders or animals taking part in BCH functions, I do hereby release the above mentioned from any claim or right for damages which might occur to me, my minor children and/or my livestock.
Signed_____________________________________date________________
Signed_____________________________________date________________
Amt Rec’d____________ Date Rec’d______________ Rec’d by___________
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