Tri-County Horse Club
2008 Membership Registration Form
(Printable version located on forms.)
I wish to join the Tri-County Horse Club and be eligible for points earned when showing at any/all Tri-County pointed shows. My points earned will go toward year-end awards.
(Please print clearly)
Name of person to be pointed:________________________________________________
Name of parents (for youth only):_____________________________________________
Address:__________________________ City__________________
State _____ Zip_______
Phone Number(s):__________________________
E-mail:__________________________
Youth’s Age and Birth Date:_________________________________________________
Must have birth date on anyone under the age of 18 (i.e.: If you are 12 years old on January 1st, you can show as a 12 year old all year, even if you turn 13 on January 2nd.)
Enclosed is my registration fee.
The fee is $15.00 per person or $30.00 per family.
Amount Enclosed:_____________________ Check#_________________________
If family registration, please list all additional names on a separate piece of paper and send it in with this form. Birthdays must be listed for all youth members.
The following classes must be designated by the rider as Hunt Seat, Saddle Seat or Western, when joining, if you want points to accrue to your totals in a particular discipline. If you plan to show in these classes, please designate your discipline (please check only one per class):
| #20 – Hunt Seat/ Saddle Seat Equitation | _____Hunt Seat _____ Saddle Seat |
| #32 – Showmanship 13 & Under | _____Hunt Seat _____ Saddle Seat ____ Western |
| #36 - Trail Class | _____Hunt Seat _____ Saddle Seat ____ Western |
Name of Trainer or Barn with whom you ride (if any):________________________
If you have any questions, please call our point keeper, Nanette Herbert, at 252-445-2488.
Please return your completed Membership Registration Form and fees to:
Tri-County Horse Club
339 Fishing Creek Road
Whitakers, NC 27891
bravenet.com