Horse/Pony Membership Application

Rider Membership Application

Middle Tennessee Hunter Jumper Association
Select one
Horse Name
Please enter horse name EXACTLY as it will appear on entry forms and/or as recorded with USEF. Do not use barn name/nickname unless it is the same as what will be entered.
USEF Membership Number (if applicable)
If registering a pony, please select size:
PLEASE NOTE!

Recorded owner MUST be a current MTHJA member in order for horse points to count
Recorded Owner Name

First NameLast Name
Owner USEF Membership Number (if applicable)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Trainer

Horse/Pony Annual Membership

$10.30

Horse/Pony Life Membership

$51.50

Declaration:

Applicant hereby agrees to be bound by the Rules of the MTHJA now in effect or as subsequently adopted
Signature
Date

MonthDayYear
Date
Should be Empty:

Rider Membership Application