King City Saddle Club | Mt. Vernon, Illinois

KCSC MEMBERSHIP FORM

MEMBERSHIP FOR 2008 SHOW SEASON

**Note: Must be a member by 2nd KCSC show to qualify for year end awards.

PLEASE COMPLETE THE FOLLOWING INFORMATION:

*DATE *MEMBERSHIP TYPE
*INDIVIDUAL OR HEAD OF HOUSEHOLD'S NAME

*For family memberships, please list all family members and their date of births. Only family members living within the same household are covered under family memberships.

NAME:___________________ DOB: ______________

NAME:___________________DOB: ______________

NAME:___________________DOB:_______________

*STREET ADDRESS *CITY/STATE/ZIPCODE *PHONE NUMBER EMAIL ADDRESS (Newsletter will be sent via email if available) Membership to King City Saddle Club entitles bearer no cost (non-member fee) at all KSCS events, use of facility for practice on ride nights, weekdays, and weekends when no events are scheduled. Voting rights at monthly meetings, all newsletter mailings, and year end awards for high point riders.**MEMBER SIGNATURE

*BY SIGNING THIS MEMBERSHIP APPLICATION, I AGREE THAT I AND/OR MY FAMILY WILL ABIDE BY ALL RULES, REGULATIONS AND POSTED SIGNS OF KCSC.

Please print and mail completed form and payment to:

Attention: Secretary

King City Saddle Club

P.O. Box 1242

Mt. Vernon, IL 62864

REMEMBER!! Monthly meetings are held the first Tuesday of each month at 7:00 p.m. at the King City Saddle Club Grounds.

OFFICIAL USE ONLY: Membership # Assigned_____________

Date and Fees Paid ________________