P N W D T A

PACIFIC NORTHWEST DRILL TEAM ASSOCIATION

Membership Information

The fee for team membership is $100 per year regardless of the number of members on the team.  Individual memberships are available to interested individuals who are not members of a member mounted drill team.  The individual membership fee is $25 per year.  Application for membership must be made in writing.  If you are a current paid team or individual member please fill out the application as well so we may keep the membership files up to date.

Copy and Paste the application into your word processing progam for printing out.  If you have a scanner the completed application form can be scanned back in and emailed to the Treasurer.

PACIFIC NORTHWEST DRILL TEAM ASSOCIATION
MEMBERSHIP APPLICATION

**___Team Membership ($100)  **___Individual Membership ($25)

*Team Name:_____________________________________________________________

*Mailing Address:_________________________________________________________

*City:____________________________State:___________Zip:____________________

*Contact Person:__________________________________________________________

*Phone:  (_____)___________________E-mail:_________________________________

*Type of Team:____________________________________________________________
   (Women's, Posse, Co-ed, Youth, etc.)
*Location:________________________________________________________________

*************************************************************************

*Individual's Name:________________________________________________________

*Address:_________________________________________________________________

*City:____________________________State:___________Zip:_____________________

*Phone:  (_____)___________________E-mail:__________________________________

 I/We wish to join Pacific Northwest Drill Team Association.  I/We will comply with the By-Laws, rules and regulations of PNWDTA.  The undersigned in consideration of accepting membership into PNWDTA, does hereby, for himself, his heirs, executors & administrators, waive and release the PNWDTA and all individual and team members thereof, and all other persons regardless of their capacity in any way connected with the association described herein.  I/We also waive our representatives, heirs, executors, administrators, and assignees from any and all right and claim, or liability for damages, or for any and all injuries to animals, or from any and all claims of any kind or nature that I might have.  Further, I do hereby acknowledged that said release will extend to any accidents, damages, or claims arising out of my membership caused by my own or by the acts of anyone or any animal within my control.

*Signature:_________________________________________________________________

  Name  and  Team Office

*Complete appropriate portion of application and mail with correct fee to:
 Darla Myers, PNWDTA Treasurer
 38520 Place Road
Fall Creek, Oregon  97438

for more information or to e-mail  application to Darla myers@nu-world.com

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