|
Name: _________________________________ |
Adult or Junior:______________ |
|
Address: _______________________________ |
City: _____________________ |
Zip: _______ |
| Home
phone: _____________________________ |
E-mail: _________________________________ |
| For Family Membership, list
members: ____________________________________________________ |
| How many horses do you own? _______ |
Where are they
stabled? _____________________________ |
| Do you ride/show:
English _________Western _________Trail _________Other __________________ |
| What other equestrian organizations do you
belong to? ________________________________________ |
|
RELEASE LIABILITY REQUIRED FROM ALL MEMBERS WHETHER PLANNING TO RIDE AT THE FACILITY OR NOT. IF FAMILY MEMBERSHIP, ALL MEMBERS OF FAMILY MUST BE LISTED AND EACH ADULT SIGNS
SEPARATELY.
ECWC is an organization that depends on the energies
and assistance of volunteers. Our activities include the hosting of a
horse show series, the miniature horse show in June and grounds keeping.
Please indicate where you can help:
|
Horse Shows __ |
Grounds __ |
Snack Shack __ |
Hospitality __ |
Awards __ |
| MEMBERSHIP FEES: |
Individual Junior
(under 18) |
$5.00 |
_________________ |
| |
Individual
Senior |
$10.00 |
_________________ |
| |
Family |
$25.00 |
_________________ |
|
Junior Club
* |
$30.00 |
_________________ |
| |
Senior Club
* |
$40.00 |
_________________ |
| |
Life Membership |
$100.00 |
_________________ |
| |
Annual Arena Fee |
$25.00 |
_________________ |
| |
(AVAILABLE w/ INDIVIDUAL, LIFE, OR FAMILY MEMBERSHIP) |
Name _____________________________ Telephone _______________ E-mail
________________
Please make your check payable to: ECWC and mail to ECWC, PO Box
3532 Walnut
Creek, CA 94596
ECWC Use:
Date Rcvd _________ Amt Rcvd $ _________
Date forwarded to Secretary/Treasurer _________ |
