Membership Application Form

Membership Level*
Name of Applicant (Guardian’s name in Parenthesis) *

First NameLast Name
Date of Birth*

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Email*
example@example.com
Spouse's Name

First NameLast Name
Spouse's Date of Birth

MonthDayYear
Date
Spouse's Email
example@example.com
Children (Ages)
Please make checks payable to Ox Ridge Riding & Racquet Club.
Applicant & family members agree to abide by all rules and regulations and to keep their financial accounts current. Any overdue member accounts will be assessed a 1.5% fee per month of arrears. Please make checks payable to Ox Ridge Riding & Racquet Club. This application must be accompanied by a Waiver Form that has been read, signed and returned to the Office of Ox Ridge Riding and Racquet Club.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Name of Proposer
Name of Seconder
Should be Empty: