2003 Membership Application

California Desperados
Mounted Shooters
1039 Nonchalant Drive  Simi Valley, CA 93065   (805) 581-5772
Date _____________________    Men’sq    Ladiesq    Juniorq    Seniorq
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Name_________________________________________________________________________

Alias_____________________________CMSA #_______________ SASS #_________________
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Address _______________________________________________________________________
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City _________________________________________ State ___________Zip ______________
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Phone (_________)________________________email _________________________________
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Family Members/Alias ___________________________________________________________
q $25  - Desperado Associate Membership Only:  includes includes Desperado Digest Newsletter and membership card.
q $85  - Desperado Membership /CMSA Individual Competition Card: includes Annual Desperado Membership, receives the Desperado Digest Newsletter plus a one year CMSA Membership and during CMSA events will be covered by a $10,000 accidental death and supplementary injury insurance policy, Competition Card, Rundown Newsletter and eligible for WPQ Points.
q $120  - Desperado Membership /CMSA Family Competition Cards: includes Annual Desperado Membership Includes all of the above for single membership for all family members living in one household.  You will receive only one copy of the Desperado Digest Newsletter and CMSA Rundown Newsletter.
q $25  -  Desperado Membership for CMSA Lifetime Members:  includes Desperado Digest Newsletter.

SASS memberships are renewed directly with the SASS office
 Liability Release Form
I understand that I am participating in a sport which contains dangers, and risks may arise, including but not limited to, accidental injury, the forces of nature and illness. In consideration of the right to participate in these events and the services provided for me by the California Desperados or Cowboy Mounted Shooting Association and it agents, I have and do hereby assume the risks associated with such events. The contestant shall at his own expense, defend management and/or all sponsors, their members or employees from any and all such claims and indemnify from any and all liability, damage and costs arising from injuries to person or property occasioned by any act or omission of the contestant.
Signature of Applicant Required _______________________________________ Date_________________

Name of referring Desperado Member (if any)__________________________________________________________