2024 SFRHA Membership Application
If you are registering for more than one Individual or Youth membership, please complete a separate application for each member. If you are registering for a Family Membership, please complete one application for the entire family using the Additional Family Member fields below. If you have any questions regarding the application, please email us at info@sfrha.com or contact Joanna at 305-509-0623.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
*
-
Month
-
Day
Year
Date
Additional Family Member 1
Name
First Name
Last Name
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
-
Month
-
Day
Year
Date
Additional Family Member 2
Name
First Name
Last Name
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
-
Month
-
Day
Year
Date
Additional Family Member 3
Name
First Name
Last Name
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
-
Month
-
Day
Year
Date
Additional Family Member 4
Name
First Name
Last Name
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
-
Month
-
Day
Year
Date
Additional Family Member 5
Name
First Name
Last Name
NRHA Member Number
NRHA Membership Expiration Date
-
Month
-
Day
Year
Date
NRHA Membership Type
General (Owner Only/Does Not Show)
Associate (Green Classes ONLY)
General with Non Pro Designation
Youth (Youth Classes Only)
Youth with Non Pro Designation
Professional
Birthdate
-
Month
-
Day
Year
Date
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Save
Membership Fee
*
prev
next
( X )
Youth Membership
$
15.00
Individual Membership
$
55.00
Family Membership
$
80.00
Credit Card
Save
Submit
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