ORHA MEMBERSHIP FORM All Riders and Owners of horses competing in ORHA Classes, Must be Members of ORHA Name of Applicant * First Name Last Name Are you a New Member Yes No ORHA # NRHA # Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Membership Type Professional Rider $70.00 plus HST ( Total $ 79.10 ) Non- Pro Rider $70.00 plus HST ( Total $ 79.10 ) Horse Owner (non-rider) $70.00 plus HST ( Total $ 79.10 ) Life Time Mem $800.00 plus HST ( Total $ 904.10 ) Youth Rider $20.00 plus HST ( Total $ 22.60 ) DOB: 18 & under as of December 31 Message I want to be include in correspondence from ORHA Yes No Rider Printed Subscription The Rider magazine is complimentary with your ORHA Membership Rider Digital Email Subscription The Rider magazine is complimentary with your ORHA Membership Signature of Applicant * By typing your name, you are signing your digital signature First Name Last Name Date MM DD YYYY I the Above signed: Am familiar with the risk of injury and or death that a participant in this activity must assume. And I believe that I am physically, emotionally and mentally able to participate in this activity, and my equipment is mechanically fit for my use in this activity. I also understand that all applicable rules for participation Must be followed and that at all times the sole responsibility for personal safety remains with me . Furthermore I understand that conduct of all persons present at ORHA events shall be orderly, responsible, sportsmanlike and humane in the treatment of horses. I understand that unsportsmanlike or irresponsible conduct or any other form of misconduct, such as illegal, indecent or profane langue and the inhumane treatment of horses – as determined by experienced show organizers/management – is prohibited and shall be grounds for disciplinary action including removal from the event. The ORHA Rule Book is posted on the website, and I agree to read and ensure I understand its content. Also I agree to abide by the rules and regulations of the Ontario Reining Horse Association. Parent / Guardian Authorization If the applicant is under the age of 18: As a parent /guardian of the above applicant, I have read and understand all of the above and agree to all terms and conditions, and to allow my child to participate in all activates. First Name Last Name Signature Date MM DD YYYY Payment Type Please Note: An incomplete Membership Application will not be processed Cheque Cash Etransfer To orhagrandfinale@gmail.com Mail to ORHA c/o Samantha Speed 24782 Silver Clay Line West Lorne Ont N0L 2P0 Or Email To memberships@orha.on.ca Thank you!
