Hampshire County Riding Club Inc.
Membership Application
Name: ____________________________________________________
Address: __________________________________________________
Town: ________________State: _____Zip: ________ Phone: _________
E-Mail: _____________________
_______ IF YOU WANT THE NEWSLETTER AND ANNOUNCEMENTS SENT
TO YOU BY MAIL PLEASE CHECK HERE
Horses Owned: ________________________________________________
Mail to HCRC Box 91, Williamsburg, MA 01096
The new dues schedule will go into effect February 1, 2008. Membership runs Jan. 1st – Dec. 31st
_______ $30.00 – adults (18 years old and up) ______ regular OR _____ supporting member*
_________ $25.00 – each additional adult in the same household
_________ $20.00 – juniors (ages 12 TO 18 years, must be accompanied by parent guardian)
_________ FREE - UNDER 12 years old
*Supporting member is an individual who pays regular membership but who does not have voting rights, and will pay half of the non-member fees for all club functions.
RECEIVE A FREE MASSACHUSETTS HORSE MAGAZINE WITH A 20 WORD CLASSIFIED AD THROUGH OUT THE YEAR, 10% DISCOUNT AT SACKETT RIDGE SADDLERY VOTING RIGHTS AND INVOLVEMENT WITH CLUB’S FUTURE, DISCOUNT AT HCRC CLUB ACTIVATES, USE OF CLUB GROUNDS AND CLASSIFIED ADS IN THE HCRC NEWSLETTER.
I WOULD LIKE TO VOLUNTEER FOR THE FOLLOWING:
PLEASE CHECK BELOW:
______ Organize a Trail Ride _______ Horse Show Committee
______ Activities/Program Committee _______ Fund Raising
______ Clean –Up Days
Please read carefully
Under Massachusetts law, an equine professional is not liable for an injury to, or the death of, a participant in equine activities, pursuant to Chapter 128, Sec. 2d of the MA General Laws. I understand fully that participation in activities with horses involves a high risk that could potentially result in serious injury or death. I hereby acknowledge that I am participating at my own risk and agree to make no claims against the Hampshire County Riding Club, or against its officers or members, nor against any Land owner over whose property members are permitted to pass, for any liability, damage or injury or loss including legal fees, that may occur to myself, my Horse or any article I may send with my horse.
SIGNATURE: ___________________________________ DATE: __________
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