California Peacekeepers Membership Application
CALIFORNIA PEACEKEEPERS MOUNTED SHOOTING ASSOCIATION
Primary Applicant Name *
By checking this box, I hereby agree and accept the terms of the California Peacekeepers Association Waiver, Release and Indemnity Agreement *
Required
By checking this box, I am signing on behalf of a minor('s) and hereby accept the terms of the California Peacekeepers Association Waiver, Release and Indemnity Agreement *
Required
Email *
Address
City
State
Zip
Home Phone
Cell Phone
CMSA Number *
CMSA Level *
Cowboy or Cowgirl
Clear selection
Date of Birth
Membership Type
Clear selection
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
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