First Name   Last Name   Address   City   State   Zipcode   E-Mail             Individual $40.00     Family $45.00     Add your comments below:                       Join Us Use the form on the left to sign up with the Goldhounds. Once you submit the form, Send in your check for the membership requested. We will match the incoming mail to the web submission. Mail to: Mother Lode Goldhounds P.O. Box 149 Foresthill, Ca. 95631 I hereby apply for membership in the Mother Lode Goldhounds. I, the applicant, fully understand that whatever recreational event, I or my family, attend that I am fully responsible and at no time will have legal or financial claim against, nor hold responsible, any member or club officer of the Mother Lode Goldhound Association for any damage or injuries received by my participation in any event. I will be responsible for my own actions. I HAVE READ AND FULLY UNDERSTAND THIS RELEASE By submitting my application I have agreed to the above statement.