Back Country Horsem
OF THE CROATAN
Membership Application
Name:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
*
Format: (000) 000-0000.
Email:
*
example@example.com
Membership Dues Individual $35.00 or Family $45.00:
*
Individual
Family
(# of family members
**
Dues can be paid by: Zelle (bch.croatan@gmail.com) or check (payable to BCHC) or cash
**
Applications can be submitted at any BCHC meeting / event or mailed to the following;
Back Country Horsemen of the Croatan
c/o Paul Green
905 Shoo Fly Rd.
New Bern, NC 28560
Under North Carolina law, an equine activity sponsor is not liable for an injury to or death of a participant in equine activities resulting exclusively from the inherent risks of equine activities. Chapter 99E of the NC-GS.
In consideration of this membership, I/we agree not to hold Back Country Horsemen of the Croatan (BCHC) or its members or organizers liable for any injury or damage however caused which may result from participation in any event sponsored by the Back Country Horsemen of the Croatan.
Signed:
*
Date:
*
-
Month
-
Day
Year
Date
Treasurer Receipt of Dues
Jan 2026
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