CSRHC Membership Application Form

Select Membership *

CSRHC Membership #

Name *

First Name Last Name

Type of Membership

$50.00 Adult Membership $20.00 Youth Membership $20.00 Social Membership $25.00 Day Membership (Clinic/Show)

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

NRHA & Reining Australia Memberships need to be applied for direct.

To compete in NRHA sanctioned classes you must have full NRHA Membership.

Application for these memberships can be made via these links:

NRHA: www.nrha.com

Reining Australia: www.reiningaustralia.com.au

Once your application has been received you will be sent a Membership Renewal Notice for payment. 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