KCRC Membership Application

Membership Types

Individual: An individual eighteen years of age or older.

Family: One household and any dependents residing in the household who are under the age of twenty six or a financial dependent of the household at the time of application. Grandchildren under the age of eighteen may also be included if they are under the care, and control of the primary member—either full-time, part-time, or during visits—at the time of club participation or application.

Individual Membership – New (18+)Family Membership – New

Hardship Fund Donation

All donations will be allocated to KCRC’s hardship fund that covers membership fees for those facing unexpected financial difficulties, offering individuals/families a way to stay connected to the riding community during tough times.

Price

Total Price

USD(including credit card convenience fees)

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Applicant Name*

First NameLast Name

Applicant Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Primary Email for Club-Related Communications*

example@example.com

Co-Applicant Name

First NameLast Name

Co-Applicant Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Additional Email for Club-Related Communications (Optional)

example@example.com

Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PLEASE READ INSTRUCTIONS CAREFULLY. INCOMPLETE/INCORRECT HOLD HARMLESS RELEASE OF LIABLITY WILL RESULT IN A REJECTED APPLICATION. List name, age (at the time of application), birthdate and acknowledge the Hold Harmless Release of Liability by typing in your full legal name.*

Rows	Full Name	Age	Birthdate	Hold Harmless Release of Liability: Type FULL LEGAL NAME for all adults and FULL LEGAL NAME of responsible parent/guardian for each minor.
1
2
3
4
5
6

PLEASE READ INSTRUCTIONS CAREFULLY. INCOMPLETE/INCORRECT HOLD HARMLESS RELEASE OF LIABLITY WILL RESULT IN A REJECTED APPLICATION. List name, age (at the time of application), birthdate and acknowledge the Hold Harmless Release of Liability by typing in your full legal name.*

Rows	Full Name	Age	Birthdate	Hold Harmless Release of Liability: Type your FULL LEGAL NAME below to serve as your signature.
1

IMPORTANT: Each adult member (18+) must type their full name in the Hold Harmless Release of Liability column, and each youth member (under 18) must have a parent/guardian typed name in the Hold Harmless Release of Liability column. All other fields must be marked "N/A". All typed names on this e-form signify acknowledgement and acceptance of the terms of the KCRC Hold Harmless Agreement.

****WARNING****
Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised Statutes.
For more information: http://www.americanequestrian.com/legal/CO.htm

HOLD HARMLESS AGREEMENT

I HEREBY RELEASE Kit Carson Riding Club, Inc., its Officers, Board of Directors and members from any claim or right for damages which may occur to me, my minor children, or equine family (i.e. horses, mules, donkey, etc.) I also assume and accept full responsibility for any damages done by us or our equine family at any Kit carson Riding Club, Inc. sponsored or supervised activity during this membership year.

I hereby release and hold harmless Kit Carson Riding Club, Inc. from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with images taken at KCRC sponsored events. Futher, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Kit Carson Riding Club, Inc. to use their likenesses and names.

I Further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive financial compensation of any type associated with the taking or publication of any photographs or participation in club marketing
materials or other club publications and forms of communication. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I hereby release Kit Carson Riding Club, Inc., its members, its volunteers and any third parties involved in the creation or publication of club publications, from liability for any claims by me or any party in connection with my participation or the participation of the minor children listed above.

List three reasons for wanting to be a Kit Carson Riding Club member

Rows	Reason
1)
2)
3)

Sponsoring Member's/Family's Name*

Sponsoring Member's Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact*

Rows	Name	Relationship	Phone Number
Contact 1
Contact 2

Emergency Contact*

Rows	Name	Relationship	Phone Number
Contact 1

For membership in the Kit Carson Riding Club, Inc., I/we agree to the following conditions. (Each adult member must mark their initials in the appropriate column. All empty fields must be marked with an "N/A"):*

Rows	Applicant Initials	Co-Applicant Initials
I/We understand that the Kit Carson Riding Club, Inc is a private club to be used by and for the members of the Kit Carson Riding Club, Inc.
I/We agree not to abuse the gate privilege by: a. Allowing non-members to use the club grounds outside of club sponsored public activities.
b. Disabling the gate in any way to keep it open
I/We understand that this membership may be immediately terminated for non-compliance with KCRC’s bylaws, code of conduct or general rules.

For membership in the Kit Carson Riding Club, Inc., I agree to the following conditions: *

Rows	Applicant Initials
I understand that the Kit Carson Riding Club, Inc is a private club to be used by and for the members of the Kit Carson Riding Club, Inc.
I agree not to abuse the gate privilege by: a. Allowing non-members to use the club grounds outside of club sponsored public activities.
b. Disabling the gate in any way to keep it open
I understand that this membership may be immediately terminated for non-compliance with KCRC’s bylaws, code of conduct or general rules.

Committee Name*

How many times did you volunteer and what were your responsibilities?*

Participation: What activities did you participate in during this last membership year?*

Today's Date*

By-Laws

Code of Conduct

I agree

Signature*

KCRC Membership Application

Membership Types

Member Involvement