ERRSC MEMBERSHIP FORM

ERRSC MEMBERSHIP FORM

Name:_____________________________

Address:___________________________

Phone # :___________or Cell #________

______________________________________________

Membership amt paid $_____ Rcvd by:____ Ck#/cash____

Parent/guardian signature____________________________________________

WARNING: Under Missouri Law, an equine professional is
not liable for injury to or the death of a participant in equine
activities resulting from the inherent risks of equine activities.

Family membership living at same address $25.00
Individual membership $20.00
Becoming a member gives you less entry fees to pay at shows, you can ride in the arena whenever we dont have a show

City ,State & Zip Code __________________________

Additional family members

______________________________________________