2007 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 –  $48.00 per year plus $10. per Youth Member (10 years & older). 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 - $38.00 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__________________

Website information available at www.ReinedCowhorse.net

Phone SRCHA Secretary – Angela Moore 306-548-5558

Mail Member Application with Cheque payable to SRCHA to:

Angela Moore, SRCHA Sec. Box 878, Preeceville, SK. S0A 3B0

Email Angela at moore.srcha@sasktel.net or Vicki at appaloosa@yourlink.ca