Clone of 3GSC Membership form

3GSC Membership Form
Please mark when paid:
Payment Type
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Yearly Family Membership
Family membership is defined as: Any two adults and any dependent children 17 and under living at the same address.

$35.00

Yearly Single Membership
Single Membership is defined as: Any single contestant age 18 and older. May be for under 18 if no other family member registers to compete.

$20.00

Total

$0.00
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

2025 3GSC Family Membership $35

A family membership is defined as: Family – Any two adults and any dependent children 17 and under living at the same address
1st Member Name

First NameLast Name
1st Member Age Division (Age as of Jan.1)
1st Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
2nd Member Name

First NameLast Name
2nd Member Age Division (Age as of Jan.1)
2nd Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
3rd Member Name

First NameLast Name
3rd Member Age Division (Age as of Jan. 1)
3rd Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
4th Member Name

First NameLast Name
4th Member Age Division (Age as of Jan. 1)
4th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
5th Member Name

First NameLast Name
5th Member Age Division (Age as of Jan. 1)
5th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
6th Member Name

First NameLast Name
6th Member Age Division (Age as of Jan.1)
6th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
7th Member Name

First NameLast Name
7th Member Age Division (Age as of Jan.1)
7th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
8th Member Name

First NameLast Name
8th Member Age Division (Age as of Jan. 1)
8th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
9th Member Name

First NameLast Name
9th Member Age Division (Age as of Jan. 1)
9th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
10th Member Name

First NameLast Name
10th Member Age Division (Age as of Jan. 1)
10th Member Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Email (please fill out if you would like confirmation email)
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Best form of contact
Coggins

Cancelof
*Proof of current Coggins required at each show*

I agree to hold harmless, the 3 Gems Saddle Club (3GSC) and its agents from any and all claims, damages, losses and expenses from bodily injury, illness or property damage or injury to myself, my equipment, or my horse(s) arising from participant’s attendance, presence and/or partition at any and all Club sponsored events. I AGREE to follow the following posted MN Statute 604A.12 LIVESTOCK ACTIVITIES; IMMUNITY FROM LIABILITY.

I grant to 3 Gems Saddle Club (3GSC), its representatives and employees the right to take photographs of me and my horse and my property in connection with the above identified subject. I authorize 3 Gems Saddle Club (3GSC), its assigns and transferees to use and publish the same in print and/or electronically on social media.

I agree that 3 Gems Saddle Club (3GSC) may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.

If participant is a minor, must have Parent or Guardian signature.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Typed Name

Welcome to the 3GSC community!
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3GSC Membership Form

My Products*

2025 3GSC Family Membership $35

Welcome to the 3GSC community!

My Products