Buxmont Riding Club’s
Membership
Application
Spouse’s Name _____________________________________________________
Child/Children’s Name(age 17 & under) Age Date of Birth
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
City _____________________________State
____________Zip______________
Phone Number_____________________ Cell______________________
E-Mail Address (if applicable)_______________________________________
Number of Horses in your family
_______________________________________
Type of horses you have: _______________________________________
What is your interest in the Buxmont Riding Club? _________________________
__________________________________________________________________
Do you belong to any other clubs, if so which ones? ________________________
__________________________________________________________________
Where/How did you hear about the Buxmont Riding Club? __________________
__________________________________________________________________
The Buxmont Riding Club runs on VOLUNTEERISM. In order to match up your interest and skills with the functions to maintain the club, PLEASE rate the following as to what you can be involved in: 0 for can’t do, a 1 for can try to help out and a 2 for you can help out in that area.
___Food Booth ___Judge assistant ___Show Booth
___ Banquet ___Workshops/Clinics ___Outside Speakers
___Building ___Ribbon Runner ___Trail Rides
___Gate help ___Ring
Master ___ Hosted
Shows (NBHA, PJHS)
___Western show help ____English show help ____ Gymkhana show help
Make checks payable to the Buxmont Riding Club, Inc. Please mail your check and this application
to
Single Membership------ $30 (an individual that is 18 yrs or older)
Dual Membership-------- $35, 2 people (at least one of whom is 18 yrs or older & both live under same roof)
Family
Membership------ $45, 3 or more people (at least one of whom is
18 yrs or older & all live under same roof)
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A Probationary Member on __________________Date Dues Paid __________________
Membership Committee Member______________Cash or Check Number____________
An Active Member on_______________________Treasurer ______________________