East Texas Mounted Search & Rescue

Mounted Membership Application and Information Sheet

Name:______

Mailing Address:______

Physical Address:______

Home Phone #:______Cell:______

Email:______

Which is the fastest way to contact you:______

Previous or Current Occupation ______

Does your Cell phone accept texting: Yes No

Please list any and all skills you possess, which may be an asset for Search and Rescue: Example: CPR, Ham Radio Operator, Nurse, Animal Vet, Tracker, Farrier: ______

Let us know if you have a:

TruckYesNo

Horse TrailerYesNo

ATVYesNo

GeneratorYesNo

Ham RadioYesNo

Handheld GPSYesNo

Walkie TalkiesYesNo

Texas Concealed Handgun License YesNo

If Yes License Number: ______

Are you willing to assist with contacting members when we are called out? Yes No

Would you like to help with Logistics? Yes No

Would you like to help with Base Command/Base Camp? Yes No

How many horses can you trailer safely? ______

How many horses will you typically be hauling? ______

Obviously, your horse(s) should be sound, healthy, current shots, and current Coggins which a copy of the current Coggins must be given to our Secretary. Horses should be having on-going farrier care. Shoes are not required, but you may want to consider shoeing your horse(s). We could be called out to very rocky areas.

We assume you already know how to ride. So we are not here for riding lessons. There are some skills our horses should be comfortable with. We will be working on these. If you already can do something, turn and help your neighbor. Desensitization will be a huge part of it.

You are the most important person here. Your safety is #1! Be aware of the horses around you. You are responsible for the actions of your horse, so always be careful around others. It will take some time for all of our horses to get used to each other. Remember we are working to become a TEAM.

LIABILITY RELEASE FORM

Intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless the East Texas Mounted Search and Rescue, and any of its officers or members representing or related to the East Texas Mounted Search and Rescue. This release is for any and all liability for personal injuries (including death) and including the horse ridden by member and property losses or damage occasioned by, or in connection with any activity or accommodations. The undersigned further agrees to abide by all the rules and regulations promulgated by East Texas Mounted Search and Rescue.

I Understand and agree to abide by the above.

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Members Name (please print) Date Signed

______

Signature of Member

______

Signature of Parent/Guardian (if under 18)