CGA Membership Application

Membership in the California Gymkhana Association gives members the following:

1. CGA Information Manual and CGA Rule Book.
2. Opportunity to sign up for CGA Year-end Awards programs.
3. Opportunity to vote for CGA programs and policies.

Membership Type: *

Individual - $30 Family * - $60 Upgrade (Individual to Family) $30

Is this a new CGA Membership or a Renewal? *

New Renewal

* Family membership is defined as immediate members of a family living at home, i.e., father, mother, and dependent children under 18 years of age residing at the same address, up to a maximum of 7 people.

Primary Member Name: *

First Name Last Name

What is your Date of Birth? *

Date

What is your CGA Number? *

Street Address *

City *

State *

Zip Code *

Email

Used to communicate important CGA information/communication. Will not be shared with any 3rd parties

Phone Number *

Please enter a valid phone number.

CGA #CGA # Name: First, Last Birthday date of birth

RELEASE OF LIABILITY: The California Gymkhana Association and cosponsoring organization, if any, will not be responsible for any accident that may occur to be caused by any equine competing at any show or for any article of any kind or nature that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal or damage to any property while on the grounds by any equine owned, or in his custody, control and shall indemnify and hold harmless the California Gymkhana Association, it's officials and directors individually and collectively and cosponsoring organization, clubs and arena owners, if any, from and against all charges and expenses of every kind and nature whatsoever arising out of or which may be incurred by reason of any accident, injury, or damage to person or property caused by the ownership, competition or custody or control of any animal competition, In signing this release, please bear in mind that Gymkhana is a contest of speed, that there is a certain element of danger involved and that you will be riding at your own risk. CGA requests that it’s members wear approved safety helmets. If you choose not to wear a safety helmet, then you as an adult rider will accept full responsibility for yourself for any injury which may result from that act when riding in any CGA sanctioned show.

Effective March 1, 2003, all riders under 18 are REQUIRED to wear a helmet when riding at a CGA sanctioned show.

CGA DOES NOT PROVIDE MEDICAL INSURANCE FOR IT’S MEMBERS!

I certify that I have read, understand and agree to the above: Signature *

To be signed by Parent or Guardian if primary member is under 18 Clear

How would you like to pay for your membership?

Mail a check to CGA State Office Pay by credit card** - an invoice will be emailed Pay via paypal ** link to payment --> https://calgymkhana.com/544-2/

**Membership is not complete until payment is received. **

CGA Membership Application

Payment Options: