2023 Membership Application
To apply for membership please complete all questions.
Membership Type
*
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( X )
Single (Adult or Youth)
Memberships submitted after May 1st of each year will increase to $45.00.
$
35.00
CAD
Couple/Family Membership
Includes two adults, and all children under 18 years in same household. Memberships submitted after May 1st of each year will increase $60.00.
$
50.00
CAD
Member Name
*
First Name
Last Name
ApHC Membership #
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Number
*
Cellular Number
*
Email
*
example@example.com
YOUTH APPLICATION. Click here to expand this section if you are applying for someone under 18 years of age.
Name
First Name
Last Name
ApHC Membership #
For youth, please include date of birth
-
Month
-
Day
Year
Date
Parent/Guardian's Name
First Name
Last Name
Home Number
Cellular Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
COUPLES/FAMILY MEMBERSHIP. Click here to expand this section if you are applying for an additional adult and/or children under 18 in the same household.
Additional Adult Name
First Name
Last Name
ApHC Membership #
Child's Name
First Name
Last Name
ApHC Membership #
Child's date of birth
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
ApHC Membership #
Child's date of birth
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
ApHC Membership #
Child's date of birth
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
ApHC Membership #
Child's date of birth
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
ApHC Membership #
Child's date of birth
-
Month
-
Day
Year
Date
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Declaration
The Appaloosa Horse Association of Alberta (AHAA), at the discretion of the Board of Directors, may use its membership's email addresses to contact members regarding club activities, upcoming equine activities and general inquiries. The list will not be released or sold to retail third party for profit groups. If you have objections to the above policy, please contact the AHAA office and ask to have your name removed from the email list.
Photography Consent
Photographs taken at AHAA events and shows may be used by AHAA for public promotion, including but not limited to: marketing, advertising, and web content. We will take all steps to ensure these images are used solely for the purposes they are intended. No fee or other compensation will be provided to members in photographs for such use. If you do not provide consent, AHAA and our photographer(s) will do their best to ensure you are not included in photography and/or that you are not included in any public promotional content.
Photograph consent
*
I consent to having my photographs taken during AHAA events and/or shows. I understand that these photos may be used for reasons outlined above.
I do not consent to having my photograph taken at any AHAA events and/or shows.
Photograph consent for Adult #2 (for Couples/Family Membership)
I consent to having my photographs taken during AHAA events and/or shows. I understand that these photos may be used for reasons outlined above.
I do not consent to having my photograph taken at any AHAA events and/or shows.
Parental photo consent for children/minors
I consent to having the child/children on this membership application photographed during AHAA events and/or shows. I understand these photos may be used for the reasons outlined above.
I do not consent to having the child/children on this membership application photographed during AHAA events and/or shows.
Name
*
Signature
*
Clear
Date
*
-
Month
-
Day
Year
Date
Youth signature not required. Only that of one guardian if it is a family membership.
Name
Signature
Clear
Date
-
Month
-
Day
Year
Date
PAYMENT
Payment options include e-transfer, cheque, or cash. E-transfer to: albertaappaloosa@gmail.com, password: Alberta. Cheques must be made payment payable to 'AHAA'. Please mail cheques and cash to AHAA, 1-51502 Hwy 770, Parkland County, AB T7Y 2J9.
I am submitting payment via:
*
E-transfer
Cheque
Cash
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