Member Information Form – Horseshoe Lake

Name

Home Phone City,

Home Address

City, State, Zip

Phone

Horseshoe Lake Address

Emergency Contact Name and Phone

Permission to Share Information

Yes – I grant permission to include your name and contact information in the printed Horseshoe Lake District Directory. The Lake District occasionally prints the Directory or updates to the Directory for distribution to Lake District members. The Lake District does not share membership information with other persons or organizations. Individual member information will not be posted on the lake District website.
No – I do not grant permission to include your name and contact information in the printed Horseshoe Lake District Directory. The Lake District occasionally prints the Directory or updates to the Directory for distribution to Lake District members. The Lake District does not share membership information with other persons or organizations. Individual member information will not be posted on the lake District website.