Membership Application Membership Type * Single Membership ($10/year) Family Membership ($25/year) First Name * Last Name * Preferred Login ID Preferred Password Email Primary Phone * Alternate Phone Address City State Zip How many years have you been affiliated with Mounted Eagles? Check all that apply: I am a program participant I am a volunteer I am on the board of directors I am a parent or guardian of a participant Other Any additional details? Captcha If you are human, leave this field blank. **MEMBERSHIP TERMS RUN FROM MID-APRIL — MID-APRIL OF EACH CALENDAR YEAR