Please choose the TYPE OF MEMBERSHIP that best suits you. A family is defined as up to (2) adults and minor children residing at the same address. Any additional family members over 18 years residing at the same address may pay $15.00 to have membership voting privileges.

Membership Type:

New MembershipRenewalSingle Adult ($30)Family ($40)+$15 Any Family Member Over 18

Member Name:

Birth Date: (mm/dd/yyyy)

Preferred Form of Communication:

EmailRegular Mail

Mailing Address:

City:

State:

Zip:

County:

Home Phone Number:

Cell Phone Number:

Email:

Emergency Contact:

Phone Number:

What Years Have You Ridden On Annual Ride?
20232022202120202019201820172015201420132012201120102009200820072006Never Ridden

Family Member(s):

Spouse Or Significant Other: Birth Date: (mm/dd/yyyy)

NOTE: Parent or Guardian must accompany minor children under the age of 18.

WARNING: Under Florida law, an equine activity sponsor or equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities. (Florida Statutes 773.01-773.05)

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