CCBA Membership Form

CCBA Membership

Valid from November 1st 2022 through October 31st 2023.
Membership*
Membership Type*
All Youth Memberships must be accompanied by an adult membership
Primary Adult on Membership
Full Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
E-mail*
example@example.com
Joint membership is for 2 adults in the same household. Please fill out the below information for the additional adult.
Full Name

First Name Last Name
Phone Number
E-mail
example@example.com
Will you be additionally getting youth memberships?*

YesNo
Youth #1 Name

First Name Last Name
Youth #1 Birthday

MonthDay Year
Date
Youth #2 Name

First Name Last Name
Youth #2 Birthday

MonthDay Year
Date
Youth #3 Name

First Name Last Name
Youth #3 Birthday

MonthDay Year
Date
Are you interested in Sponsoring a Class at a CCBA show in 2023?

Yes $25 one time ClassYes $110 one Class all year: 5 showsMaybe, please contact me for more informationNoYes, I’d to sponsor something bigger or division at the Championship show, please contact me.
My Products
prevnext( X )
Individual Membership
$25.00



Joint Membership - 2 adults in same household
$40.00



Youth - Accompanying Adult Membership Required
$10.00 Number



Single Class SponsorshipSponsor one class for our day show or Championship Show. Pricing includes mention in our banquet book, on our website & Facebook.
$25.00



Year Class Sponsorship Sponsor one class for all 5 shows. Sponsored by: your name on all classlists. Provided Business card ad in banquet book, printed on banner made and displayed Championship Show, Name announcement at the Championship show. Plus, linked Logo/Name on Website, and mention on our Facebook. A board member will reach out and ask what class you'd like to sponsor.
$ Free



Total

$0.00
Payment type*

PayPalCheckVenmo
Your membership will become valid once we have received both your Membership form and payment. No points will accrue until membership is active.

Mail PDF forms & checks to

Vicki Tolhurst

16 Virginia Rail Dr

Marlborough, CT 06447

Or email PDF form to: jazztime16@aol.com

Make All Checks Payable to Connecticut Color Breed Association or CCBA

Please send Venmo & PayPal as Friends & Family so we can continue to keep our costs low.

VENMO - @CTcolor

PayPal - ccba@stagecoachmanagement.us | paypal.me/CTcolor

**You must add the name of the Primary adult on the membership form to the note on your PayPal or VENMO payment. **Failure to do this may result in our payment not being counted**
Waiver of Liability

Each person engaged in recreational equestrian activities shall assume the risk and legal responsibility for any injury to his person or property arising out of the hazards inherent in equestrian sports, unless the injury was proximately caused by the negligence of the person providing the horse or horses to the individual engaged in recreational equestrian activities or the failure to guard or warn against a dangerous condition, use, structure or activity by the person providing the horse or horses or his agents or employees. CT Law (1997, Rev. Sec. 52-557p; 1993, P.A. 93-286, § 1.)

Liability Release:

I agree that I am personally responsible for my safety and actions and for the safety and actions of any minors under my care while competing with CCBA and/or at the Glastonbury Hunt Club or Sterling Stables. I agree to comply with all policies and rules set forth by the state of Connecticut.

The undersigned agrees to release, indemnify, and hold CCBA, Glastonbury Hunt Club, Sterling Stables, its officials, board of directors, employees, volunteers, or additional locations where CCBA sanctions events may occur, harmless to any claims. Applying for Membership of CCBA constitutes agreement herein.
I agree to the above Waiver of Liability*

Yes
Member or Guardian Signature*

Clear
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