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Certified Horsemanship Association
 

Application for Membership--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!

*As a service to our International Individual Members (Including Canada), 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.


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

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

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:
 

PROGRAM MEMBERSHIP - $200 /YR.

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 NARHA 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
 

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.

 

Certified Horsemanship Association