Westfield Riding Club Membership Application

Westfield Riding Club Membership Application

To join the Westfield Riding Club or to renew your current membership, complete and submit this form. You can pay your dues online at the end of the form. If you prefer, you can download a copy of the membership form from the club website, and mail the completed form and your dues to Westfield Riding Club, P.O. Box 8092, Westfield, MA 01086.
New/Renewal

NewRenewalUNRENEWEDDuplicate
NOTES
Member Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Phone Number

Area CodePhone Number
Is your preferred phone number:

HomeCellWork
Secondary Phone Number

Area CodePhone Number
Is your secondary phone number:

HomeCellWork
E-mail Address:
Is it OK to include your personal information on the club's distribution list for members?

YesNo
Type of Membership
Choose Junior for 1 person 18 or younger, Individual for 1 person over 18, Family for parents plus children or Trail for Trail Rides only.
If this is a Family Membership, please list additional family members and your relationship to each one in the spaces below. Family memberships can include parents and children under 18 years of age.
Name:
Relationship:
Name:
Relationship:
Name:
Relationship:
Comments/Additional Info
I understand fully that participation in activities involving horses involves high risk that could result in serious injury or death. I hereby acknowledge that I am participating at my own risk and agree to make no claims against the Westfield Riding Club, Inc. nor against any of it’s officers, members or land owners, (which members are permitted to pass), or for any damage, injury or loss which may occur to myself, my horse or any vehicle or other property I may have with my horse.
By typing my name in this box and submitting this form, I acknowledge that I have read the liability statement above and I agree to its terms.
Type name
By typing my name in this box and submitting this form, I give my child (under 18 years old) permission to join the Westfield Riding Club.
Type name
Paying Your Dues

To complete your new membership or renewal, please pay your dues. You can pay online here:

http://westfieldridingclub.org/dues/

Or you can pay by sending a check (payable to Westfield Riding Club) to Westfield Riding Club, P.O. Box 8092, Westfield, MA 01086.

Thanks for your membership! We are looking forward to riding with you!
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