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Greeley Saddle Club
Membership Application-2020
P.O. Box 1963 Greeley, CO 80631 Date Paid______________________
Membership Type Single $30.00 Family $40.00
Contact Preference (i.e. Newsletters) Email Mail
Permanent entry numbers are assigned to each participant. If you have a number that was assigned in 2016 or
after KEEP that number and record below. New numbers will be assigned in the order in which memberships are
paid. There will be no special requests for numbers.
Last Name First Name Birthdate
(required)
Permanent #
(Assigned by Office)
Street Address ________________________________________________________________________
City_____________________ State_____ Zip__________Phone Number__________________________
Emergency Contact: Name_____________________________ Phone____________________________
Email________________________________________________ Do you have health Insurance? ______
VOLUNTEER SERVICE FOR GREELEY SADDLE CLUB
Members are required to volunteer a minimum of 2 hours (single) or 4 hours (family) each year to qualify
for year-end awards and to help our club run on event days.