Buxmont Riding Club’s
Membership
Application
Spouse’s Name _____________________________________________________
Child/Children’s Name(age 17 & under) Age Date of Birth
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City _____________________________State
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Phone Number_____________________ Cell______________________
E-Mail Address (if applicable)_______________________________________
Number of Horses in your family
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Type of horses you have: _______________________________________
What is your interest in the Buxmont Riding Club? _________________________
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Do you belong to any other clubs, if so which ones? ________________________
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Where/How did you hear about the Buxmont Riding Club? __________________
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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 ____Grounds ____Judge assistant ____Show Booth
___Getting Sponsors ____ Banquet ____Workshops/Clinics ____Outside Speakers
___Building ____Ring runner ____ Annual awards ____ Show set-up
___Show clean up ____Trail Rides ____The Monitor ____Website
Make checks payable to the Buxmont Riding Club, Inc. Please mail your check and this application to 71 Clump Road P.O. Box 113 Tylersport, Pa 18971-0113 or take this application and your payment to a horse show or meeting.
Dues are as follows: $30.00 – for an individual (17 years and over)
$35.00 – for a family with children (under 17)
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A Probationary Member on __________________Date Dues Paid __________________
Membership Committee Member______________Cash or Check Number____________
An Active Member on_______________________Treasurer ______________________