Membership Application

New and Renewal Membership Application

All fields are required. If a field does not apply to you: type NA

Member #1 First Name

Member #1 Last Name

Member #1 Email

Member #1 Phone Number

Member #2 First Name

Member #2 Last Name

Member #2 Email

Member #2 Phone Number

Street Address

City

State

Postal / Zip code

Member #2 Relationship to Member #1

Name of Children

Individual Membership -anyone 18 or older, with or without children

Family Membership - two legally joined adults, residing in the same household, with or without children (civil unions, domestic partners, husband, wife) WHETHER SPOUSE OR CHILDREN RIDE

Name(s) of owned equines

Name(s) of leased equines

Lessor's Contact info: name, address, phone

I have received and read the RRRC constitution and agree to abide by the rules therein.

I /we acknowldge as a member that I /we assume the risk and legal responsibility as such and agree to make no claim againt RRRC, Inc, it's officers or members.

I /we acknowledge I /we are responsible for all damages that be caused by myself, my equine(s) or guest(s)

Member #1 Signature

Member #2 Signature