Can Chasin’ Association

2008 Single Membership Application

Member Information

First Name:___________________________________

Last Name:___________________________________

Address: _____________________________________

City: ______________ State: _________ Zip: _______

Phone: _____________ e-mail ____________________

Birthdate (if competing in the juniors) ______________

Membership Terms and Fees

Single membership fee $45.00 Membership is effective for the current calendar year. Membership application and fees include one nomination for points.  If you are running more than 1 horse or running the same horse in the Novice Class also, you must pay an additional nomination (s) before points will accrue on the additional horses or classes.  

By applying for this membership, I agree to abide by all rules and regulations set by Can Chasin’ Association. I further agree to release and hold harmless CCA, arena owners, sponsors and any person connected with CCA from losses, damages, or injury to me, my equipment, and/or my animals resulting in my attendance or participation in any CCA event. I also agree to have a current negative coggins on ALL horses in my possession at any CCA event.

Signature ___________________________ Date _____________

Mail to:

Can Chasin' Association

c/o Michelle Henderson

35119 W. Hwy 66

Bristow, OK 74010