{"id":636,"date":"2022-07-28T13:49:15","date_gmt":"2022-07-28T13:49:15","guid":{"rendered":"https:\/\/ncscshooting.org\/?page_id=636"},"modified":"2026-01-03T20:50:14","modified_gmt":"2026-01-03T20:50:14","slug":"2023-membership","status":"publish","type":"page","link":"https:\/\/ncscshooting.org\/?page_id=636","title":{"rendered":"2026 Youth Membership"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-c702dff2-41da-4eb5-9e4b-1d7bef9e5456\" id=\"wpforms-484\"><form id=\"wpforms-form-484\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"484\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F636\" data-token=\"80b0cfc051079720700fc13042d75ec0\" data-token-time=\"1778245946\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-484-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-484-field_16\">This form is for YOUTH memberships only! For adult memberships, contact your discipline director.<\/h3><\/div><div id=\"wpforms-484-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Participant Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-484-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-484-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-484-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Parent Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-484-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-484-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-484-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-484-field_4\">Parent Contact Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-484-field_4\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" aria-label=\"Parent Contact Phone Number\" required><\/div><div id=\"wpforms-484-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-484-field_5\">Secondary Phone Contact Number<\/label><input type=\"tel\" id=\"wpforms-484-field_5\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Secondary Phone Contact Number\" ><\/div><div id=\"wpforms-484-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-484-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-484-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-484-field_6-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Discipline(s) Participating In<\/label><ul id=\"wpforms-484-field_6\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-484-field_6_1\" name=\"wpforms[fields][6][]\" value=\"Archery\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-484-field_6_1\">Archery<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-484-field_6_2\" name=\"wpforms[fields][6][]\" value=\"Shotgun\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-484-field_6_2\">Shotgun<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-484-field_6_3\" name=\"wpforms[fields][6][]\" value=\"Rifle\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-484-field_6_3\">Rifle<\/label><\/li><\/ul><\/div><div id=\"wpforms-484-field_10-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"10\"><h3 id=\"wpforms-484-field_10\">Annual Waiver and Hold Harmless Agreement<\/h3><div class=\"wpforms-field-description\">I understand that I hold North Caddo Shooting Club (NCSC), the Parish of Caddo, and any affiliated entity, their officers, agents, employees, and volunteers (collectively referred to as &#8220;Released Parties&#8221;) harmless from any and all liability or claims, which may arise out of or in connection with participation in the shooting program. I release from all liability for damages arising out of personal injury to participant (including death) or any damage to property whether from anyone&#8217;s negligence or not, or any other cause arising out of my participation in any and all North Caddo Shooting Club activities. I will keep the Released Parties by this agreement free of any damages or costs, including but not limited to attorney&#8217;s fees that may arise from any claims. Furthermore, I state that I have read the above authorization and release prior to its execution, and that I am fully familiar with the contents thereof. I furthermore agree that my electronic signature below binds myself and the participant to the agreement. This form must be completed and signed before participants are eligible to participate as a member of North Caddo Shooting Club. I have read, understand, and agree to comply with the information in this document. The Hold Harmless Participant Waiver &amp; Release Form shall be considered valid for a period of one (1) year from the date of signature. <\/div><\/div><div id=\"wpforms-484-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Parent\/Guardian Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" required><label for=\"wpforms-484-field_11\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-484-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" required><label for=\"wpforms-484-field_11-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-484-field_12-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-484-field_12\">Date \/ Time<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-484-field_12\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][12][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-484-field_13-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-484-field_13\">Signature<\/label><input type=\"text\" id=\"wpforms-484-field_13\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][13]\" autocomplete=\"off\" inputmode=\"none\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-484-field_13-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 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