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MEMBERSHIP APPLICATION

Please complete the AQMA membership application in full to finalize your membership. 

I/We hereby grant permission to AQMA and its representatives to take and use photographs, videos and/or digital images of my child during the current or future season for use in AQMA promotions.
I/We understand videos/images may be included in, but not limited to printed/electronic publications, websites, or other electronic communications, and my child's name and identity may be revealed in descriptive text/commentary with images.
I/We authorize the use of images/videos without prior approval or compensation to me/us. All negatives, prints, digital reproductions shall be the property of AQMA and its representatives.
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Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

American Quarter Midget Association

Prairie City SVRA

13300 White Rock Road

Rancho Cordova, Ca. 95742

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