2008 Saskatchewan Reined Cowhorse Membership Application (prints on
8.5 X 11 paper)
Memberships are based
on the calendar year; includes one Western Horse Review magazine subscription
per household.
Fees: please check mark the
appropriate box or boxes, and PRINT NAME(s) below:
q
“Family”
Membership –
$58.00 per year plus $10. per Youth
Member (10 -18 years). The Family Membership gives both adults and all youth
voting privileges, and a 1 year subscription to Northern Horse Review magazine
per household. Please list all Family Members below, indicating ages for Youth
Members:
___________________________________________ ____________________________________________
___________________________(age)_____
___________________________(age)
_____
q
Individual Voting Membership - $43.00 per year per
person. Includes 1 year subscription to Northern Horse Review
magazine.
___________________________________
q
Youth Membership - $28.00 per year per youth. Age 10 to
18 years during the calendar year; with voting privileges plus a 1 year
subscription to Northern Horse Review magazine.
__________________________________
______________________________
Household Mailing Address:
please print
Postal Code____________________ Phone
________________________ Fax ______________________
Email Addresses: list each
individuals personal email address, if they wish to receive Newsletters via
email. All newsletters will be sent via email instead of Canada Post, unless
specified below:
____________________________________________
Do not send newsletters via email (circle)
____________________________________________ Do not send
newsletters via email
(circle)
RELEASE
AND WAIVER
I,
the undersigned acknowledge that competition in the Saskatchewan Reined Cow
Horse Association (SRCHA) involves an inherent risk of injury and accordingly,
hereby release the SRCHA and it’s officers, members, agents, employees,
representatives or any of them, from all claims, demands, action or cause of
action, of any kind or nature or accrue me in favor of myself, my heirs,
representatives or dependent, on me, because of any matter, thing or condition,
negligence, or default, whatsoever and I/we hereby assume and accept the full
risk of danger or any hurt, injury, or damage which may occur through or by any
reason or any matter, thing or condition, negligence, or default, or any person
whatsoever.
Signature___________________________________________
Date______________________
Signature___________________________________________
Date _____________________
Parent/Guardian Signature for
Youth Members ________________________Date__________________
Mail Member Application with
Cheque payable to SRCHA to:
Angela Moore, SRCHA Sec.
Box 878,
Preeceville,
SK.
S0A 3B0
Website information available at
http://www.reinedcowhorse.net/SaskatchewanReinedCowhorseAssociation1.html
Phone SRCHA Secretary – Angela
Moore 306-548-5558
Email Angela at moore.srcha@sasktel.net or
contact Vicki at 306-329-8600 appaloosa@yourlink.ca