Sign Up Only North Coast Horse Association Club Membership Registration Form

North Coast Horse Association Membership Application

Complete the form below to sign up for an annual NCHA Membership. Digital membership card will be sent when application is approved - laminated membership card is available upon request.
Name*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If family membership, please list each additional family member's first and last name, phone number and email if different than above and age if a youth member.
Membership Rules
I, the undersigned, hereby apply for membership in the North Coast Horse Association and agree to abide by its rules posted at www.NorthCoastHorse.com for the Association and for all activities. I acknowledge that horseback riding is a sport which carries inherent risks of injury and damage to myself, my horse and property. I knowingly assume all risks, whether known or unknown, of horseback riding. I hereby release the NCHA, its directors, officers, agents, helpers and members from all liability. In consideration of my participation in activities organized or sponsored by the NCHA, I hereby wave, release and discharge the NCHA, its directors, officers, agents, helpers and members against all claims of liability for illness, injury or damage to myself, other members of my family, riders of my horse, my animals, or my property arising out of my participation.
Agreement:

I have read, understood, and accepted the rules for membership.I understand that my membership will not be active until payment is submitted
Signature

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If you are signing up for a minor, please type your full name below and sign the field above. A parent or guardians signature is needed for all youth members.
Name

First NameLast Name
My Products*
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Youth Membership - Through Dec 31, 2023$25.00
Must be 17 years old & younger as of Jan 1, 2023

Adult Membership - Through Dec 31, 2023$35.00

Family Membership - Through Dec 31, 2023$50.00
Please limit to 2 adults and up to 2 children - MUST live in the same household. For additional information or questions, please contact us

Total $0.00
Please submitt payment to one of the following options:

Venmo: @northcoasthorse

Paypal: NorthCoastHorse@gmail.com

US Mail: Checks made out to NCHA

767 Carr Ave Santa Rosa, Ca 95404
I will submit my payment via:

VenmoPaypalCheck
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North Coast Horse Association Membership Application

Membership Rules