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Granite State Houndsmen
Membership Application
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Please print out this membership application.
Complete the requested information and mail it along with your dues to:
Granite State Houndsmen
c/o Wayne Stevens
48 Ledge Farm Road
Nottingham, NH 03290

Granite State Houdsmen Association
Membership Application
 
Name:______________________________________________
 
Address:____________________________________________
 
Address:____________________________________________
 
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.
 
Signature:__________________________________________
 
___  $15.00 Single Membership
___  $25.00 Family Membership - parental aproval required for                 children under 16
___  $10.00 Junior Membership - Under 16 - (parental
                       approval  required below)
 
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: ____________________________________