Rockwood Trail Riders   

ROCKWOOD TRAIL RIDERS

MEMBERSHIP APPLICATION

TYPE OF MEMBERSHIP (please circle amount)

                                                                             Before Work Day         After Work Day

YOUTH (18 and under)                                            $10.00                              $15.00

ADULT (19 and over)                                               $15.00                               $20.00

FAMILY (Includes all children under 18)              $25.00                               $30.00

For Family Membership – Please list children’s names and date of birth

1._______________________  ______    2._______________________  ______

3._______________________  ______    4._______________________  ______

AREAS OF INTEREST (circle all that apply):  English        English Beginner

Youth Team      Western Performance       Western Games       Trail Riding

Trail Horse Trials        Fun Days

WAIVER

ROCKWOOD TRAIL RIDERS are not responsible for lost or stolen property.

ROCKWOOD TRAIL RIDERS are not responsible for damage to trucks, trailers

or injuries to persons or animals however caused.

__________________________________________        Dated:  ______________

Signature of participant or Guardian (if under 18 years of age)

____________________________________________________________

Address & Phone # of Guardian & Relationship to Child

This form is a copy from MS Word - you can copy, paste and print it if you like!.