Grand Mesa Back Country
Horsemen
Membership
Application
Instructions: Please include your check or money order and
send to:
Grand Mesa Back Country Horsemen, PO Box 4872, Grand
Junction, CO 81502
Name(s) ____________________________ Occupation
______________________________
Address
_____________________________________________________________________
Email ______________________________ Telephone
_______________________________
Please Check: New Membership _____ Renewal _______ Individual
$30.00 ______________
Family $35.00 ________ Associate $100.00 __________ Youth
$1.00 _________
How do you use your Horse/Mules? Pleasure/Trail riding
__________ Ranching __________
Commercial Outfitting ________ Other
_____________________________________
WARNING– Under Colorado Law, an equine professional is not
liable for an injury or the death of a participant in equine activities
resulting from the inherent risks of equine activities, pursuant to section
13-21-119, Colorado Revised Statutes. I (we) release the Grand Mesa Back Country
Horsemen, its officers, directors, or agents of any and all liability which may
arise as a result of injury to my (our) person or property that may be sustained
in connection with the club’s activities. Each adult
member must sign the release before participating in club activities. Minors
must have Parent or legal guardian sign as well.
Signed: ______________________________________________ Date:
_____________