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Membership Application

Application for CHA Membership

If you have already completed this form but need to select which membership you would like to purchase click here.

Please fill out this form, and hit submit at the bottom. You will then be directed to our secure processing form which will accept your payment. Thanks!

Individual Membership is all in USD. Membership dues for individuals are 1- through 3-year ($55 - $165) Canadian individuals 1- through 3-year ($55 - $165 USD) or lifetime $750 USD. Youth memberships are $15, and will require an adult's email address for processing.


CHA INDIVIDUAL MEMBERSHIP - $55/YR. OR $750 LIFETIME

Renewal New member
Contact Email:
Name:
Address:
City:		State:	Zip:
Organization Affiliation:


CHA YOUTH MEMBERSHIPS - $15/YR.

	Please check this box if yours is a YOUTH membership
Adult Email Address Required:
Youth's Name:
Date of Birth:	(format: 0/0/0000)
Parent or Guardian Email:


CHA Program/Business Membership - $200 /YR.

Business/Program Name:		Yrs. In Service:
Contact Person:		Title:
Program Director:
Instructors & Wranglers:
Summer Address:
Summer Phone #:	(000-000-0000)
Winter Address:
Winter Phone #:	(000-000-0000)
FAX#:	(000-000-0000)
Sponsoring Agency:
Program Operated Is:	Non-Profit Private/Independant
Member Of:	ACA CCI AHSA HSA PATH USDF AQHA Other
Seasons In Operation:	Year round Seasonally
# of Riding Horses:		# of Riders/yr:
Programs Offered:	English Western Trail Riding Packing Jumping Vaulting Driving Dressage
Special:	Do you offer riding for people with special needs? Yes No
Program Operated For:	Boys Girls Adults
Would you like information on hosting a CHA clinic? Yes No


CHA AFFILIATE MEMBERSHIP - $950/YR.

Name of Association:		# of Members:
Contact:		Title:
Address:		City, State, Zip:
Email:		Website:
Phone:		Fax:
After submitting your form, you will review your information. You will then be directed to our secure payment processing area.