MALE ____ FEMALE ____ JUNIOR ____Pitching Distance: 40 Ft._____ ;Less Than 40 Ft._____;ELDER_____ ;JUNIOR CADET_____
ADULT MEMBERSHIP $35.00 $
JUNIOR MEMBERSHIP: AGE:
TOTAL AMOUNT ENCLOSED: $
__________________________________________________________________________________________________________________________________MAKE CHECK OR MONEY ORDER PAYABLE TO: Pearl Platero
PARTICIPANTS LIABILITY RELEASE: In consideration of participating in such activity, I hereby waive, release and forever discharge the New Mexico Horseshoe Pitchers Association, all officers, employees, agents and servants of the afore stated organization, and all fellow participants of this event, for any and all action, cause of action, damage, loss or injury, which I may suffer as a consequence of participating in the New Mexico Horseshoe Pitchers Association Sanctioned NHPA tournaments.