2008 MEMBERSHIP APPLICATION

 

1. Make sure you read the enclosed RCHA Rules & Regulations before filling out your membership form. All new rule changes are printed in red.

2. Make sure you send a copy of the registration papers on any horse you plan to show in 2008. If you are showing the same horses as you did in 2007 you do not have to send another copy. Designate on you membership form that you are showing the same horses.

3. Membership dues for members who plan to participate at the cuttings - $100.

4. Membership dues for associate members who do not want to participate at the cuttings but would like to remain on the mailing list - $50.

5. Membership dues for youth members - $25.

6. Sign and return "Waiver of Liability" and "Release" form with membership application.

 

 

 

2008 MEMBERSHIP APPLICATION

 

___ Active Membership $100 – plan on participating at cuttings.

___ Associate Membership $50 – do not plan on participating but would like to remain on mailing list.

___ Youth Membership $25

 

 

 

Name: _______________________________________

Address: ______________________________________

City – State – Zip Code________________________________

Phone #: ______________________________________

Cell #: _______________________________________

Email Address ____________________________________

 

 

Name of Ranch: ___________________________________

Phone #: ______________________________________

Length of Employment: ________________________________

If Contract Labor, Ranch Reference: ___________________________

Phone #: ______________________________________

 

Please send appropriate membership fee along with copy of the registration papers of any horses that might be shown during the current points year at least two weeks prior to an event. No application will be considered until all requirements are met.

 

__________________________________Signature Required

By signing, I agree that I have read and understand all rules; and that I qualify and have answered all questions truthfully.

 

 

Waiver of Liability and Release

     In consideration of being allowed to participate in any way in the RCHA events and related activities, the undersigned acknowledges, appreciates, and agrees that:

     1.  There is a risk of injury from the activities involved in these events, including the potential for permanent paralysis and death;

     2.  I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RCHA or others, and assume full responsibility for my participation; and

     3.  I willingly agree to comply with the stated RCHA rules and conditions for participation and the decisions of the RCHA Board Of Directors; and,

     4.  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kind, HEREBY RELEASE AND HOLD HARMLESS RCHA, their officers, officials, members, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

     5.  I HAVE READ THIS DOCUMENT IN ITS ENTIRETY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

Date Signed ____      Signature _______________________

                            Participant (please print) _________________

                                  SS# _________________________

                     DOB _________________________

                                  Phone # _______________________

                     Emergency Contact ___________________

 

FOR PARTICIPANTS OF MINORITY AGE (UNDER 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kind, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARRISING FROM THEIR NEGLIGENCE.

Date Signed _______      Parent/ Guardian SIgnature __________________

                                          Emergency Phone # _____________________    

 

 

email - rcha@nts-online.net