Granite State Houdsmen Association
City:________________________ State:_____ Zip:_________
How did you hear of the association?____________________
Upon completing and acceptance of this application, the Association may give other club
members access to your information as well as use pictures of you and/or your hounds on this website, publication and
to the UKC.
___ $15.00 Single Membership
___ $25.00 Family Membership - parental aproval required for
children under 16
___ $10.00 Junior Membership - Under 16 - (parental
My child ______________________, is allowed to participate in events held by the Association.
I accept the inherent risk that may occur during such events and I will not hold the Association responsible for any injuries
that may occur.
Parent Signature: ____________________________________