CSRHC Membership Application Form

CSRHC Membership Application Form

Annual Fee from January 1st - December 31st
Select Membership *
CSRHC Membership #
Name *

First Name Last Name
Type of Membership

$50.00 Adult Membership $20.00 Youth Membership $20.00 Social Membership
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Email *
example@example.com
Date of Birth
NRHA Member #
Emergency Contact Details *

First Name Last Name
Emergency Contact Phone Number *
Parent/Guardian if 18 Years or Under

First Name Last Name
Parent/Guardian Phone Number
Terms and Conditions:

I hereby apply to become a member of the Calliope Sliders Reining Horse Club Inc. In the event of my admission as a member, I agree to abide by the rules and regulations of the Calliope Sliders Reining Horse Club Inc and the NRHA.

I indemnify all members whether it be committee and ordinary members of this club from and against all actions, liabilities, costs and charges received by me during competitions and events held by the Calliope Sliders Reining Horse Club Inc.

I acknowledge that the activity being undertaken is for the purposes of recreation, enjoyment or leisure which involves a significant degree of physical risk. The Provider acknowledges that they are providing Recreational Services, providing facilities for participation in a recreational activity of training, and/or participation in a recreational activity, or supervising, adjudicating, guiding or otherwise assisting a person’s participation in a recreational activity.

Declaration

By selecting the checkbox of Terms and Conditions of this agreement I understand that the Recreational Services about to be sold to me as set out in this form may cause me or my dependents personal injury or death. I understand that I and my dependents waive our rights to sue the Provider for losses relating to me or my dependents personal injury or death that result from any negligence caused by the provider.
Terms and Conditions *

Check Box when Terms and Conditions are read and fully understood
To compete in NRHA sanctioned classes you must have full NRHA Membership.

NRHA membership will need to be applied for direct via the link.

NRHA: www.nrha.com
We will confirm your application as soon as payment is received. Please note that all competitors must be current members in order to ride.

Thank you
My Products
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Adult Membership $ 50.00 AUD

Youth Membership $ 20.00 AUD

Social Membership $ 20.00 AUD

Total $ 0.00 AUD

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