Please read this Liability Waiver before submitting form New Membership Name(Required) First Last Address(Required) Street Address Address Line 2 City State Zip Code Phone(Required)EmailIf you provide your email address, you'll receive an online invoice for your membership dues, as well as announcements of future B&B events. What type of membership would you like?(Required)New members joining in Oct-Nov-Dec will have their memberships extended through Dec 31st of the next year. Individual = $75.00 per year Family = $125.00 per year which includes 2 adults and children under 18 all in the same houshold If Family Membership:Please list all family members to include in your membership.Would you be able to help with the following activities?Please check all that apply. Trail Rides Parade Fundraising Events Maintenance (clubhouse, obstacle course, arena) Select AllCheck this box if:(Required) You understand and agree to the terms of the Boot and Bottle Club Liability Waiver. (Click the red button above to read the waiver.)Let my initials entered below serve as my handwritten signature.(Required)My initials also acknowledge my agreement to abide by the Liability Waiver on behalf of my minor child(ren) listed.