2024 Membership Form

North Dakota Appaloosa Horse Club 2024 Membership Form

Any questions can be directed to Membership Coordinator, Annalee Jones ndaphcmembership@gmail.com or 218-289-7448
Annual NDApHC Annual Membership Type

Single - $15Family - $20
National Membership #
Member Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Phone Number
Email
example@example.com
Are you on Facebook?

If you selected Family Membership above, please include additional family members:

NDApHC North Dakota Born or Bred Form
NDApHC North Dakota Born or Bred Award Nomination Form

The North Dakota Born or Bred Hi Point Award is an award given yearly to a horse either born in North Dakota or whose sire or dam was in North Dakota at the time of breed. Any age horse is eligble; however, only open classes count towards the award. The nominated horse must be entered in both performance and halter classes. The owner of the nominated horse must be a member of NDApHC, but does not have to live in North Dakota. Nomiation : $20 per horse
Do you wish to nominate a horse for the ND Born or Bred Award?

Yes - $20 nomination feeNo
Horse Name:

Registered NameRegistration #
Owner Name

First NameLast Name
Do you wish to nominate an additional horse for the ND Born or Bred Award?

Yes - additional $20 nomination feeNo
Horse Name:

Registered NameRegistration #
Owner Name

First NameLast Name
**A copy of the front & back of the horse's ApHC registration papers must be included w/membership and payment. Physical copies of paperwork can also be sent to Membership Coordinator**
Horse Registration Papers: Upload File

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NDApHC Partnership Log Program Form
North Dakota Appaloosa Horse Club Partnership Log Program for NDApHC Members

Record your riding and groundwork hours and submit a detailed log at the end of the year (November 30th). The hours are cumulative and awards are based on the quantity of hours put in with an ApHC registered horse. Enrollment fee is $25 per year, per horse/rider combination. *Please submit information for each horse/rider combination enrolled.*

Awards
25 Hours:	ND ApHC T-Shirt
50 Hours:	Personalized award w/club logo & horse/rider name
100 Hours:	Sweatshirt personalized w/club logo & horse/rider name
250 Hours:	Montana Silversmiths key chain
500 Hours:	Personalized award w/club logo, horse/rider names
750 Hours:	Personalized award w/club logo, horse/rider names
1000 Hours:	Jacket personalized w/club logo, horse/rider names
1500 Hours:	Halter w/horse name/NDApHC
2000 Hours:	Certificate of Completion & Award Buckle

Do you wish to enroll in the NDApHC Partnership Log Program for 2024?

Yes - $25 fee / horse & rider combinationNo
Rider Name

First NameLast Name
What size t-shirt do you wear?
Horse Name

Registered NameRegistration #
Do you wish to enroll and additional horse/rider combo in the NDApHC Partnership Log Program for 2024?

Yes - additional $25 fee / horse & rider combinationNo
Additional Rider Name

First NameLast Name
What size t-shirt do you wear?
Additional Horse Name

Registered NameRegistration #
**Logs can be submitted in any format, but must show date, activity, and total hours for each entry**

**A copy of the front & back of the horse's ApHC registration papers must be included w/membership and payment. NDApHC members are not required to own the ApHC horse to participate in the riding log program**
Horse Registration Papers: Upload File

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NDApHC All Breed Challenge & Fall Classic Sponsorship
NDApHC All Breed Challenge & Fall Classic Sponsorship
Would you like to donate money to sponsor the NDApHC All Breed Challenge & Fall Classic Horse Show?

YesNo
If "Yes", what $ amount would you like to donate?

	Selection	Subtotal
Single Membership Dues $15
Family Membership Dues $20
ND Born or Bred Nomination ($20/Horse)
NDApHC Partnership Log ($25/Horse & Rider Combo)
ABC & Fall Classic Sponsorship (on individual basis)
Total Payment Due

North Dakota Appaloosa Horse Club 2024 Membership Form