CHA Site Accreditation Application

Please submit the following form with online payment of $125.00 for Accreditation Application. If you do not want to submit payment online, please print this form and mail it with your payment to:

CHA Site Accreditation
4037 Iron Works Parkway Suite 180
Lexington, KY 40511

Name of Program:
Contact Person's Name
Email
Address
City
State Zip Code
CHA Membership Number
Region #

What type of program do you operate?

Camp
College
School
Boarding/Training Stable
Recreation/Livery
Youth Riding Club
Other

Does your program operate...
Year Round
Seasonally to
Other:

I am submitting payment today:
Online
Via Mail

We would like to purchase an Accreditation sign*:
One Sign
Two Signs

(*Signs only available if accreditation is awarded)

After submitting your form, you will review your information. You will then be directed to our secure payment processing area.