2021 Riverside Drifter Saddle Club
Membership Registration Form
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Member Name
Date of Birth
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Phone Number
Email
Additional Family Members (Please include DOB and Age)
Please list any medical problems the club should know of in the event you need help:
The Riverside Drifters Saddle Club will not be responsible for any injury to either horse or rider, or theft in any form. Enter at your own risk. Occasionally we take pictures at our shows that may be used on social media, our web page, or for advertising purposes. Signed membership form will be deemed as acceptance of the RELEASE OF LIABILITY and RELEASE OF ANY COPYRIGHTS to the photographs we take and of GRANTING PERMISSION to use them if you are in the photograph. I hereby absolve and release the RDSC and all parties connected with or hired by from any claims for damages or injuries to myself, horse(s), equipment or any of my attendants while practicing, exercising, or competing at the RDSC arena or events. By typing my name below, I hereby agree to assume personal responsibility for any damages caused by my horse(s) or me. I agree that I have read the above and understand it fully.
Parent/Guardian Signature (for members under 18)
Date
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Club membership will not be complete until payment is received. I will pay for my club membership in the following way.
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