Horse/Pony Membership Application

Rider Membership Application

Middle Tennessee Hunter Jumper Association
Select one*

Renew Previous MemberJoin New Member
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.
Trainer

Membership Type (includes processing fee)*

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

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Rider Membership Application