Membership

Full Name:*

First NameMiddle NameLast Name

Are You a New Member to ORHA:*

NO:Yes:

ORHA #*

If New Membership Please Enter 0000

NRHA #*

If No NRHA Membership Please Enter 0000

Phone Number:*

E-mail:*

Address:*

Street Address

Address (cont)

City Province

Postal / Zip Code

Do You Wish to Be included in ORHA Correspondence:*

Yes:No:

Rider Magazine:*

Printed Magazine:Digital Email Magazine:Not Required:

I am familiar with the risk of injury and or death that a participant in this activity must assume. And I believe that I am physically, emotionally and mentally able to participate in this activity, and my equipment is mechanically fit for my use in this activity. I also understand that all applicable rules for participation Must be followed and that at all times the sole responsibility for personal safety remains with me . Furthermore I understand that conduct of all persons present at ORHA events shall be orderly, responsible, sportsmanlike and humane in the treatment of horses. I understand that unsportsmanlike or irresponsible conduct or any other form of misconduct, such as illegal, indecent or profane langue and the inhumane treatment of horses – as determined by experienced show organizers/management – is prohibited and shall be grounds for disciplinary action including removal from the event. The ORHA Rule Book is posted on the website, and I agree to read and ensure I understand its content. Also I agree to abide by the rules and regulations of the Ontario Reining Horse Association.

ORHA Membership Type :*

Professional $ 70.00 Plus HST ___ $79.10Youth $20.00 Plus HST ___ $22.60Non Pro $70.00 Plus HST ___ $79.10Life Time $ 800.00 Plus HST ___ $104.00

Date of Application:*

DOB If Youth Application :*

Signature of Applicant: *

By Signing the Above You Agree To All Terms & Conditions

Type Name of Parent / Guardian:*

Signature of Parent/Guardian (If You are a Youth Member)*

By Signing the Above You Agree To All Terms & Conditions

Payment & Membership Type :*

E-Transfer:Credit Card:Cheque/Cash:

Total:

All Taxes are Included

E-Transfer To:

Mail Payment To :

Your Membership will be Processed on the Date Payment is Received

Payment Amount*

CADDescription

Payment Methods:

Credit Card

Apple Pay

Google Pay