2025 NWSC Membership Form

2025 NWSC Membership Form
Membership Type*

Youth ($25.00)Individual ($40.00)2 Member Household ($50.00)3 or More Member Household ($60.00)Honorary (over 65 after 1-yr paid membership) (N/A)
I agree to allow my membership information to be included in the NWSC Director for use only by other club members.*

YesNo
NEW MEMBERS - please provide name of referring NWSC member:
New members must be present at the general meeting to be considered for membership. The meetings are held on the first Tuesday of each month. Please do not send cash through the mail. Checks or money orders should be made payable to: Northwest Saddle Club

Send dues to: Membership Committee Chair

Northwest Saddle Club

20485 Holstad Trail

Forest Lake, MN 55025

Or bring to the next NWSC General Meeting. Membership is not complete until dues are received.

MEMBERSHIP ROSTER INFORMATION - to be completed each year for new and renewing members. Please list all family members, including full names, DOB and Division as of 1/1/2025, to be included in the membership.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Division as of 1/1/2025*

PW (10 & Under)JR (11-13)INT (14-17)SR (18-34)SR+ (35-49)SS (50 & Over)Non-Riding
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Division as of 1/1/2025

PW (10 & Under)JR (11-13)INT (14-17)SR (18-34)SR+ (35-49)SS (50 & Over)Non-Riding
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional members to add*

YesNo
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Division as of 1/1/2025

PW (10 & Under)JR (11-13)INT (14-17)SR (18-34)SR+ (35-49)SS (50 & Over)Non-Riding
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional members to add*

YesNo
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Division as of 1/1/2025

PW (10 & Under)JR (11-13)INT (14-17)SR (18-34)SR+ (35-49)SS (50 & Over)Non-Riding
Phone Number
Please enter a valid phone number.
Email
example@example.com
I am interested in volunteering for the following club activities:

Pleasure Shows (hand out ribbons, announcer, show office, gate, show chair)Game Shows (gates, arena help, announcer, show office, backup timer, show chair)Youth Meetings and Youth EventsGrounds (cutting grass, arena mtce, equipment mtce, building mtce)Tack Swap (organizing, set up, tear down)Social Activities (trail rides, open riding, clinics, parades)Other - please reach out with suggestions
PARTICIPANT'S AGREEMENT FOR RELEASE OF LIABILITY AND ASSUMPTION OF RISK REGARDING THE INHERENT RISK OF LIVESTOCK ACTIVITIES

THE UNDERSIGNED, A PARTICIPANT (OR THE PARENT/GUARDIAN OF A PARTICIPANT) at an equetrian event at Northwest Saddle Club (NWSC), has read and hereby signs this Agreement for Release of Liability and Assumption of Risk, waiving Participant's right to sue NWSC and/or its agents or assigned for claims alleged to arise from accidents, acts or omissions, up to and including ordinary negligence under Minnesota law, occurring on the premises and/or arising from contact with horses or other animals or livestock on the premises in connection with the equestrian event. The Participant agrees and acknowledges as follows:

Horses are unpredictable animals. By signing this Agreement, I acknowledge that I understand the inherent risks of livestock activities defined in Minnesota Statutes § 604A.I2:

Subdivision 1. Definitions. (a) For purposes of this section, the following terms have the meanings given them.

(b) "Inherent risks of livestock activities" means dangers or conditions that are an integral part of livestock activities, including:

(1) the propensity of livestock to behave in ways that may result in death or injury to persons on or around them, such as kicking, biting, or bucking;

(2) the unpredictability of livestock's reaction to things like sound, sudden movement, unfamiliar objects, persons, or other animals;

(3) natural hazards such as surface or subsurface conditions; or

(4) collisions with other livestock or objects.

(c) "Livestock" meaning cattle, sheep, swine, horses, ponies, donkeys, mules, hinnies, goats, buffalo, llamas, or poultry.

I further understand that NWSC is a Minnesota non-profit organization that is exempt from liability for the death of or an injury to a participant resulting form the inherent risks of livestock activities under Minnesota Statutes § 604A.12 Subd. 2.

I agree to abide and follow all rules and signs posted on the premises. I understand that my safety, and the safety of any children under my supervision, is solely my own responsibility. I agree that the use of helmets and other safety gear is entirely at my own discretion, and I expressly assume the risk of accidents occurring on the premises and/or accidents arising from the inherent risks of livestock activities as defined above.
In case of Emergency, Name/Phone #*
Signature*

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