SMHRA Membership Form
NAME(S)
ADDRESS
PHONE
E-Mail
Breed(s) of dog(s)
Individual $20.00 / Family $25.00
(Circle
amount)
Please make checks payable to SMHRA and mail to:
SMHRA
Treasurer/Secretary
Owatonna, MN
55060
As a condition of membership in the Southern Minnesota Hunting Retriever Assoc.(SMHRA), I do hereby waive my right and the right of my heirs and assigns to hold SMHRA , or its directors, officers or employees liable or responsible in anyway for damage, injury or death that may occur to myself or my family or any of my or my family’s properties or belongings, including any dog(s).In addition I agree to defend, indemnify and hold harmless SMHRA against any and all loss, liability, damages and costs(including attorney fees) arising from or related to my participation, or the participation of any dog in which I have ownership or which I am handling at any SMHRA event or activity. I understand the risks involved, including without limitation, dogs being off-leash and the discharge of firearms, and I will use utmost caution and safe conduct while paticipating in or attending any SMHRA event or activity. I will adhere to the rules and regulations of the American Kennel Club and the North American Hunting Retriever Association.
Member Signature Date