RMSC Membership Application

Rockie Mountain Saddle Club Membership Application
Parent Name*

First NameLast Name
Date of Birth*

MonthDayYear
Mobile Number*
Format: (000) 000-0000.
E-mail*
example@example.com
How Many People are in Your Family Membership?*
Family Member 2*

First NameLast Name
Date of Birth Person 2*

MonthDayYear
If you are filling the information for your child in Family Member 2, you may leave the phone # and email feilds blank.
Mobile Number Person 2
Format: (000) 000-0000.
Email Person 2
example@example.com
Family Member 3*

First NameLast Name
Date of Birth Person 3*

MonthDayYear
If you are filling the information for your child in Family Member 3 , you may leave the phone # and email feilds blank.
Mobile Number Person 3
Format: (000) 000-0000.
Email Person 3
example@example.com
Family Member 4*

First NameLast Name
Date of Birth Person 4*

MonthDayYear
If you are filling the information for your child in Family Member 4 , you may leave the phone # and email feilds blank.
Mobile Number Person 4
Format: (000) 000-0000.
Email Person 4
example@example.com
Family Member 5*

First NameLast Name
Date of Birth Person 5*

MonthDayYear
If you are filling the information for your child in Family Member 5 , you may leave the phone # and email feilds blank.
Mobile Number Person 5
Format: (000) 000-0000.
Email Person 5
example@example.com
Add additional family members
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Data Protection: your email address will be used for the committee members to contact you and send out notices. It will not be passed to any other third party.

Rockie Mountain Saddle Club is run totally by volunteers for the benefit of all members. Memberships help reduce the entry fees for the entire season for the whole immediate family. Points will accumulate after membership dues are paid and application is completed in full.
I agree to the membership being limited to only household members*
I agree to photos of me at club sessions and events being used on the RMSC web site and in promotional material and waive rights to compensation*
I agree that our membership expires on December 31, 2026*
I agree that all entry forms and waivers are filled out and signed by the time of the event by a parent or legal guardian*
Rules of membership and and Rockie Mountain Saddle Club By Laws are posted on the website as well.
Date

MonthDayYear
Signature of Applicant*

Payment Type

Annual Membership

$50.00 Quantity

Total

$0.00

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

Please use your phone camera to use Venmo code below
Should be Empty:

Rockie Mountain Saddle Club Membership Application