Membership Form - Credit Card

Anchorage Horse Council at William C. Chamberlin Equestrian Center,

Located at 3900 Abbott Rd. Anchorage, AK - Office # 907-522-1552,

Mail to P.O.Box 112195 Anchorage, AK, 99511

Name*

First NameLast Name

Email - So we can contact you if we have any problems*

example@example.com

Address - So we can mail you your badge*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number - So we can contact you if anything goes wrong*

Area CodePhone Number

I have read and agree to abide by the WCCEC facility information and rules. [CLICK TO SEE FULL DOCUMENT]

If unable to upload here, a current, negative EIA for all horses must be provided and on file at the WCCEC office via mail, email, or drop off and recieved before riding at WCCEC.

EIA Upload

Upload a File

Signature*

Signature means you have read the rules of WCCEC and Release of Liability and understand them, and if my EIA is not attached to send it in via mail or email and be received before I ride at WCCEC.

Annual Membership Options - membership starts 01/01 of the year and goes till 12/31 no matter when purchased*

One Day Use - Individual$20.00

Day use fee for one person to ride at WCCEC

Quantity

Overnight Stall$20.00

For visitors requiring stabling overnight

Quantity

One Day Use Family$40.00

For a family or household to use the whole WCCEC facility for one day

Individual Membership$125.00

One person riding pass for the year, whole facility

Family Membership$250.00

Family/household riding pass for the year, whole facility (list additional HH members below)

Trainer Individual Membership$185.00

Membership for those using the WCCEC for teaching lessons or training horses. Trainers please also ensure your clients are members or have paid the day fee.

Trainer Family Membership$310.00

Membership for those teaching lessons at WCCEC and/or family riding at WCCEC, whole facility

Trail Supporter$75.00

Membership for those who will not be using arenas, but use the parking lot and other amenities at WCCEC. This membership helps support our trails.

Donation$25.00

Help us further our mission with a donation!

Quantity

Subtotal $0.00Shipping $0.00Total $0.00

Credit Card

List the names of each Rider/Family member that will be riding under your family membership.