A SASS Points Mounted Shooting Match

Rider ________________________________________________ SASS # _______________

alias: ________________________________________________ div/class ___________________

address: ______________________________________________________________________

phone: _______________________ email: ____________________________________________________

1^st Main match fee X the number of riders _____ @ $80.00

Opt MSA, match ammo, X the number of riders ____________ @ $50.00 ____________

1 Day MSA non member fee _______________________________@ $10.00 _____________

Mntd RIFLE, match ammo, X the number of riders _________ @ $25.00 ____________

TIME only, no match entry, X the number of riders _________ @ $50.00 ___________

TIME only, with match entry, X the number of riders ________ @ $40.00 ___________

Wranglers X the number of riders ________________________ @ $35.00 ____________

Horse camping ____ X # of horses _____ # of nights _____ @ $5.00 a night $_________

(Dogs must be kept on a leash)

Will you join the CRR today? @ $50.00 single / $80.00 fam / $25 assoc. member $ ________

Will you be joining SASS today? @ $55.00 single / $95.00 family membership $ __________

Paid by cash: $ _____________ Check: $ ___________ TOTAL: $ ______________

Signed Release of Liability form___________________