2026 VBHSA Membership

Membership

**Rider, Owner & Horse must ALL be members to accrue points toward year end awards**
Individual (Annual)Individual (Lifetime)Farm/Business (Annual)Farm/Business (Lifetime)
Name*
If using Farm or Business Name, please incl contact name in parenthesis
Trainer or Barn Affiliation
Your Email*
Address*

Street Address Line 2
Child (12 and under)Junior (13-17)Adult (18 and Over)
Date of Birth **Only if 17 and younger
Child & Junior memberships are not valid unless completed
Phone*
Format: (000) 000-0000.
Certification of Information
My e-signature below indicates that I certify that the information as completed on this form is true.
E-Signature*
Membership Dues
Select Memberships
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Individual Annual Membership$60.00
Membership will expire Nov 30

Individual Lifetime Membership$300.00
Membership does not expire

Farm/Business Annual Membership$40.00
Membership will expire Nov 30

Farm/Business Lifetime Membership$150.00
Membership does not expire

Subtotal $0.00Tax $0.00Total $0.00
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Membership