Saskatchewan Appaloosa Horse Club Application for 2105 Membership 2015 Membership Divisions: • Family (1 or 2 Adults & 1 or more youth) • Single Adult or Single Youth - Please note that a youth must have a parent or guardian sign consent at the bottom of the form if the youth is 18 or younger as of January 1, 2015. FEES PRIOR TO MARCH 31,2015: Active Family $80 Active Single Adult OR Single Youth $65 Non Active Family $40 Non Active Single Adult OR Single Youth $25 AFTER MARCH 31, 2015 : THERE WILL BE A $10 LATE FEE ADDED TO EACH MEMBERSHIP FEE •ACTIVE membership is ANY individual that participates in any SAHC activity. •NON ACTIVE membership is any individual that does not participate in club activities but still wishes to support the SAHC. NOTICE to all Members and Competitors: In order to receive SAHC points towards our Show Awards and our Year End Award the horse owner and exhibitor must have a current Saskatchewan Appaloosa Horse Club membership at the time of the show. The club does not retroactively accumulate points for year –end awards. Get your membership before a show or better yet, buy before March 31st to get the best rate. Mail Membership Forms along with fee to: Saskatchewan Appaloosa Horse Club c/o Eleanor Porth RR #2,Box 26B Regina, Sk S4P 2Z2 We thank you for your time and understanding with these fees. If you have questions please call 306‐868‐4526. Your Directors are trying very hard to keep fees affordable and still keep this club of ours offering the many activities and awards that we have in the past. MEMBERSHIP FORM 2015 Please check appropriate space: Active Family $80 ___ Active Single Adult or Youth $65 ___ Non Active Family $40 ___ Non Active Single Adult or Youth $25 ___ Late fee if applying after March 31st $10 ___ New Applicant _____ Or Previous SAHC Membership Number ______ Name: _______________________________________________________ Address: _______________________________________________________ _______________________________________________________ Postal Code: _____________________ Phone # ______________________________ E‐mail Address: ___________________________________________________________ I wish to receive club news by email. Check Yes ________ No __________ For SHF Insurance purposes we need birthdays for everyone in above membership please. Please list the following: Name of Person and Birthdate (MM/DD/Year) 1. ______________________________________________ 2._________________________________________ 3. ______________________________________________ 4._________________________________________ 5. ______________________________________________ 6._________________________________________ _____ In Addition to my membership, I would like to subscribe to the Western Horse Review magazine at the club rate of $12 (rate subject to change by Western Horse Review at time of subscription). I, ___________________________________, parent or guardian of ___________________________________ accept full responsibility for the above named youth(s) and release the Saskatchewan Appaloosa Horse Club of all responsibility for any injuries incurred during any activities sponsored by the Saskatchewan Appaloosa Horse Club. DATE: _____________________ Signature of Parent or Guardian _________________________________ • Reminder to Horse Owners – If you sell an Appaloosa in 2015 to a NON SAHC member – a membership for the current year goes to that new buyer. (Sellers please let Eleanor know of such a transaction).•
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