VRHA MEMBERSHIP APPLICATION 2026

VRHA MEMBERSHIP APPLICATION 2026

1st January - 31st December
Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Are you a current NRHA (National Reining Horse Association) Member
Youth DOB

DayMonthYear
Parent/Guardian Name - Youth membership application

First NameLast Name
Parent/Guardian Phone Number - Youth membership application
Please volunteer to your club, support from the membership makes a difference to the future of your club. Without voluntary help the club has to pay workers, our preference is not to increase the membership levy to cover these costs.
I am available to help the club with:

Other
Membership Select New or Renewing
Select from the list below
prevnext( X )
Helpers Donation - Yes In addition to my membership I would like to assist the club pay for workers when needed $100.00AUD

Friend of the Derby - Yes In addition to my membership I would like to sponsor the 2026 VRHA State Championship Derby Show $50.00AUD

3 Year Adult Membership (3 x $60 Membership 3 x $15 Insurance)$225.00AUD

Adult Membership ($60 VRHA Levy $15 Insurance) 2$75.00AUD

3 Year Youth Membership 18 Years & Under (3 x $25 Membership 3 x $15 Insurance)$120.00AUD

Youth Membership 18 Years & Under ($25 VRHA Levy $15 Insurance) 2$40.00AUD

Additional Youth Membership 18 Years & Under ($0 where Youth sibling has full Youth membership)$ FreeAUD

Clinic Membership ($25 Insurance Clinic / Try out attendance$25.00AUD

Non Rider Member ($15 VRHA Levy + $15 Insurance)$30.00AUD

NRHA Member Event Levy ($25 Insurance) $25.00AUD
NRHA approved shows only and does not entitle to VRHA Hi-Point or Award programs

Total $0.00AUD
Signature
Should be Empty:

VRHA MEMBERSHIP APPLICATION 2026

Select from the list below *

Select from the list below