MEMBERSHIP FORM 2012

Allow approximately 3 weeks for your membership packet.

**Please complete the entire form below so we will have your information for your membership.  Next you will pay for you membership online.
Name (to appear on card - horse ownership registration must match name on the membership card)
Spouse's Name (family membership only)
Farm Name/Company Name
Names of Children
IMPORTANT - please complete Date of Birth
1 DOB
2 DOB
3 DOB
4 DOB
Address
City
State
Zip Code
Home Phone
Cell Phone
Fax No.
Email
Website
Interests:  Please check all that apply Showing
Trail/Ride Program		 Breeding
Other
Check here if you would like news, updates and Riding The Ranged (N/C) emailed to you
Check here if you want Riding The Range mailed to you $15.75 per year
(mailed quarterly)
ARHA Trainers Link on ARHA Business Directory Website $26.50/year
ARHA Trainers Link Website/Riding The Range $42/year
ARHA website Farm/Business Link Business Directory    $26.50/year
Amateur Statement of Eligibility:
Answer the following questions to ensure you meet ARHA’s amateur eligibility requirements:
IF YOU ANSWER “YES” TO ANY OF THESE QUESTIONS, YOU DO NOT QUALIFY TO BE AN ARHA AMATEUR
  
Have you received payment, directly or indirectly for riding, training, exhibiting or schooling horse(s) in the past five years(60 months) YES     NO
Have you instructed another person or conducted a seminar in riding, training, driving or showing a horse anytime during the last five years? YES     NO
Have any of your expenses (including lodging, transportation, mileage etc) been paid for by someone else other than family members? YES     NO
Are you now, or have you ever been approved as a horse show judge by any breed or horse show association? YES     NO
Have you judged any horse shows, Open, 4-H, or approved breed shows during the past five years for payment? YES     NO
Are you competing for ARHA Amateur Rookie Of The Year?
You cannot have earned ANY breed association points prior to the year of the award.
 YES     NO
Name of Horse to be exhibited
ARHA Registration #
Are you competing for ARHA Youth Rookie Of The Year?
You cannot have earned ANY breed association points prior to the year of the award.
 YES     NO
Through payment of membership to ARHA, members acknowledge that membership in ARHA is voluntary and agree to be bound by all the terms and conditions of ARHA’s Official Rulebook.
There is a 5% fee on all credit card and PayPal payments

  (after you submit, it will take you to the payment page.)