California Peacekeepers Membership Application
CALIFORNIA PEACEKEEPERS MOUNTED SHOOTING ASSOCIATION
Primary Applicant Name *
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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 *
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Email *
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Address
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City
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State
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Zip
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Home Phone
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Cell Phone
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CMSA Number *
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CMSA Level *
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Cowboy or Cowgirl
Date of Birth
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Membership Type
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
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For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
Your answer
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
Your answer
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
Your answer
For family membership, please complete for each additional family member: Name, CMSA #, Level, Date of Birth
Your answer
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