2006 Saskatchewan Reined Cowhorse Membership Application - prints on 8.5 X 11 paper
Memberships are based on the calendar year; includes one Northern 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)
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.reining-appaloosa.com
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