Membership Form
Kansas Dressage and Eventing Association
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Date of Birth If Junior Member
-
Month
-
Day
Year
Date
Additional Family Members (if applicable):
Second Family Member
First Name
Last Name
Date of Birth If Junior Member
-
Month
-
Day
Year
Date
Third Family Member
First Name
Last Name
Date of Birth If Junior Member
-
Month
-
Day
Year
Date
Thoroughbred Incentive Program (TIP) (if applicable)
TIP offers incentives for competition horses, recreational horses, young riders and Thoroughbreds in a non-competitive second career as well as a Championship horse show. See www.tjctip.com to learn more about the program and sign up if you own a Thoroughbred(s).
Thoroughbred Incentive Program (TIP) Only
Thoroughbred Name
TIP Number
Thoroughbred Incentive Program (TIP) Only
Thoroughbred Name
TIP Number
Thoroughbred Incentive Program (TIP) Only
Thoroughbred Name
TIP Number
MEMBERSHIP OPTIONS:
*
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KDEA Membership
Membership year runs from December 1st through November 30th of the following year.
$
45.00
Quantity
1
2
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Additional Family Member(s)
Each additional family member (i.e. lives at the same address)
$
10.00
Quantity
1
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Regular Award Program
All members are automatically entered into the Awards program. You must show in at least two KDEA schooling shows and meet the minimum volunteer requirement. For more information, please review the Awards Program document at www.kdea.org. You MUST be a member and pay in advance for your scores to count.
$
Free
Quantity
1
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Recognized Show Award Program
Recognized Show Only Awards (for members who choose not to participate in schooling shows) – You must earn ten volunteer points, write at least one article for the newsletter, and pay an additional $25 per level for awards. You MUST be a member and PAY IN ADVANCE for your scores to count.
$
25.00
Quantity
1
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PayPal/Venmo Fee
$
2.00
Quantity
1
2
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9
10
Payment Methods
Choose from one of the PayPal options to
make your payment.
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