CTRA Trial Membership Application

 

Please print all information below clearly.

 

Your Name_____________________________________________________________________________________________________________________

Children’s names & ages - (17 yrs. and under)_________________________________________________________________________________________ ______________________________________________________________________________________________________________________________

Mailing Address ____________________________________________________________________________________________

Town ___________________________________________________________ State __________ Zip code __________________

Contact phone # (______) ______-__________ Cell phone # (______) ______-________

PLEASE PROVIDE IF AVAILABLE E-MAIL_______________________________________________________________

Do you own a horse(s)__________ Do you lease (written lease) a horse (s)__________

How did you hear of CTRA (new members) Member_____ Facebook______ Website_____ Other (explain)_____________________

Trial Membership Fee (can be applied to full membership)…….... $15.00

Full membership Fees are listed below

Initiation Fee  (New memberships)……………………………….…. $10.00

Family/ Joint Membership….………………………………………… $40.00

Single Membership…(18 yrs. and Over) ……………..………....… $30.00

NOTE: Trial Memberships are only effective for the duration (hours) of the one day event. Trial Memberships can be issued only once to an individual. Trial members have 30 days from the date of the trial membership being issued to join CTRA . If a membership is opened within that 30 day period the $ 15.00 Trial membership fee will be applied in full to the first year’s membership. It will become effective the date that a full membership application is completed and submitted with the additional fees required for a membership in CTRA

$_________________ TRIAL MEMBERSHIP

$_________________TOTAL AMOUNT DUE

CHECK # ___________ DATE SUBMITTED___________________

I acknowledge that I am riding at my own risk and shall assume the risk and legal responsibility as such and agree to make no claim against the Connecticut Trail Rides Association, Inc. any member, officer nor against any owner of land which members are permitted to pass for any damage, or injury, or loss which may occur to myself, my horse, any vehicle or other article which I may send with my horse. In addition I acknowledge that I am responsible for all actions by myself and my horse. I (we) assume and accept full responsibility for damages done by me (us), or horses while on CTRA’s land or any and all land on which I (we) ride. I also agree that during the duration of the trial membership I agree to abide by the constitution, rules and regulations of the Connecticut Trail Rides Association.

Signature:_____________________________________________________________ Date:____________________

Guardians’ Signature(required if under 18 yrs of age) ___________________________________________________ Date:____________________

PLEASE MAKE CHECKS PAYABLE TO C.T.R.A. AND MAIL TO: CTRA Treasurer, Ruth Strontzer, 117 Filley Road, Haddam, CT 06438

Membership questions: Ruth Strontzer (860) 345-2954 All other questions: President Peggy Robinson (860) 309-0673