Chugiak Dog Mushers Association

Chugiak Dog Mushers Association

PO Box 671523 - Chugiak, AK 99567
Junior Membership Form (Effective Aug.1, 2024 through July 31, 2025)
Membership and Trail Pass*
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Junior Membership$10.00

Annual Trail Pass (One per family - Waived if Trail Pass purchased by Senior family member)$20.00

Total $0.00
Name of Junior member*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Phone Number

Area CodePhone Number
Birthdate*

MonthDayYear
Dog Class*

1-dog Class: Musher must have attained 4th Birthday by race day2-dog Class: Musher must have attained 8th Birthday by race day3-dog Class: Musher must have attained 10th Birthday by race day4-dog Class: Musher must have attained 12th Birthday by race day or have attained 11th Birthday and have completed at least three races with 3 dogs5-dog Class: Musher must have attained 13th Birthday by race day or have attained 12th Birthday and have completed at least three races with 3 dogs6 to 10-dog Class: Musher must have attained 15th Birthday by race day or have attained 14th Birthday and have completed at least three races with 5 dogs or have completed Jr. Iditarod
Liability Release (to be signed by parent or guardian)

I understand that dog mushing and dog-powered activities can be dangerous and can cause injury or death. I also understand that no one can foresee the many causes of injuries, or the many possible types of injuries, related to dog mushing and dog-powered activities. On behalf of myself and on behalf of my children (or children under my legal custody), I RELEASE from any and all liability (and agree not to sue or bring claims against) the Chugiak Dog Mushers Association and the Municipality of Anchorage, should I, any guest of mine, or any member of my family, including my children or children under my legal custody, be injured at the Beach Lake Trail System or during any event sponsored by the Chugiak Dog Mushers Association. This release includes claims relating to all injury of any sort, including fatal injury and injury that is not foreseeable at this time.

THIS IS A LEGAL DOCUMENT - Read before signing
Signature of Parent or Guardian*

Clear
Name of Parent or Guardian*

First NameLast Name
Signature of Parent or Guardian

Clear
Name of Parent or Guardian

First NameLast Name
Date*

MonthDayYear
Photographs

I authorize Chugiak Dog Mushers Association to use photos of me, my children, and/or dog team for promotional use
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