HORSE ASSOCIATIONS, TRAIL RIDING CLUBS & MORE!
2013
MEMBERSHIP DRIVE
Arabian Horse Association of MI - Page 3
Blue Water Pleasure Horse Assoc. - Page 4
Fort Custer Horse Friends Association - Page 8
Foundation Quarter Horse Registry of MI - Page 9
Buckskin Horse Assoc. of Michigan - Page 5
Central MI Horseman’s Association - Page 6
Genesee County 4H Horse Great Lks. Area Show Series Leaders Assoc. - Page 10 Ed. Dressage - Page 11
American Horsemen Challenge Assoc. - Page 2
Eastern Michigan Arabian Association - Page 7
Great Lakes Buckskin Association - Page 12
MApHA Michigan Appaloosa Horse Association
Great Lakes Team Penning Association - Page 13
Kensington Trail Riders Association - Page 14
Michigan Appaloosa Horse Michigan Competitive Mtd. Association - Page 15 Orienteering - Page 16
Michigan Horse Council Page 17
Michigan Horse Drawn Vehicle Assoc. - Page 18
Michigan Quarter Horse Association - Page 19
Michigan Trail Riders Association - Page 20
Mid-MI Open Horse Show Circuit - Page 21
Midwest Dressage Association - Page 22
National Jr Bullriders Association - Page 23
Pontiac Lake Horseman’s Association - Page 24
Proud Lake Trail Rider’s Association - Page 25
Ranch Horse Association of Michigan - Page 26
Sleepy Hollow Trail Riders Association - Page 27
Western MI Appaloosa Regional - Page 30
Wolverine Morgan Horse Association - Page 31
Yankee Springs Trail Rider’s Assoc. - Page 32
I want to be part of the Western Michigan Miniature Horse Club!
Waterloo Horsemen’s Association - Page 28
Western MI Miniature Horse Club - Page 29
MEMBERSHIP TYPE (please check one)
Charter Membership Lifetime Membership Regular Membership Youth Membership Booster Membership
www.AmericanHorsemenChallenge.com 2013 MEMBERSHIP APPLICATION Name
$650 $500 $50 $25 $25
Birth Date (Youth)
Address City Phone
State
Zip
Email Amateur Signature
Signature
Date
Printed Name (Parent or Guardian if under 18)
Novice Signature
Signature
Date
Does your association have a Mission Statement? If so, please include it. The mission of the AHCA is to promote horsemanship and sportsmanship at its highest level while providing an arena of comradery within a competitive obstacle course setting. Its purpose is to instill public awareness and respect for the horse, while members strive to improve their horsemanship skills. All competitions will be conducted with the highest level of integrity. What year was the association founded? 2012 What is the average number of members that you have annually? 300 Does your membership run January to December of each year? No, it starts from the day we receive the membership. What breed/discipline does the association focus on? All breeds and all disciplines are welcome! We have a Futurity division held at our Nationals. How many shows/events do you hold each year? Ten challenges were held in Michigan in 2012. Challenges are held in numerous states. Where are they normally held? Challenges are held throughout the U.S. A National Finals is held annually. Check our website for the 2013 Challenge locations that have been announced. Do your shows have Nat’l. Association approval/affiliation? (PAC, AQHA, etc.) Yes, FQHR. Is there a youth division? Yes
Are there year end awards? If so, please explain: Year end awards are presented at the National level. Saddles and buckles were awarded to all divisions. Each affiliate can offer year end awards if they choose. Do you have an annual banquet? No Do you have an annual fundraiser? No Do have a Stallion Service Sale or Futurity? A Futurity division is held annually at Nationals. Do you have monthly meetings? No Do you have a newsletter? Yes, it is emailed. What is your association website? www.AmericanHorsemenChallenge.com Who should be contacted with questions about the association? Jeff Lebbin: jeff@ahcamail.com or 810.730.0682 How do you feel the current economy is affecting your association? 2012 was a great first year! We had 93 entries in our first National Finals in Abilene, Texas. 2013 is looking to be equally strong.
Is there an amateur division? Yes Are there daily high points? If so, please explain: Each affiliate determines what awards they want to do. 50% paybacks are an association requirement. ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
www.AmericanHorsemenChallenge.com WWW.SADDLEUPMAG.COM
ARABIAN HORSE ASSOCIATION OF MICHIGAN 2013 MEMBERSHIP FORM Basic includes membership in AHA and AHAM, but does not include competition card Name (please print clearly) Name
AHA #
Youth Birth Date
AHA #
Youth Birth Date
Address
City
Phone (
)
State
Email Please make checks payable to AHAM and mail your completed form to:
Please CHECK type of membership Basic Dues $40.00 Adult: Includes one membership in AHAM and AHA.............................. with competition card $75.00 Basic Dues $25.00 Youth: Under 18 includes membership in AHAM and AHA.................... with competition card $50.00 Basic Dues $120.00 3 Yr. Adult: Includes one membership in AHAM and AHA................... with competition card $225.00
Judy Zumbach 2340 Norton, Howell, MI 48843 (517) 285-6044 • judyzumbach@gmail.com or Sue Hall 1014 Bower St., Howell, MI 48843 (517) 548-1775 • shall1407@sbcglobal.net
YOU MUST HAVE A COMPETITION CARD IF YOU PLAN ON SHOWING OR OWN A HORSE BEING SHOWN
Subscription to Modern Arabian Magazine
1 Year Subscription $10.00 3 Year Subscription $30.00
Credit Card Payments: Name on Card Visa
Zip
There is a $100 NSF Charge for returned checks or credit cards that may be denied.
Signature
MasterCard Card #
Exp. Date
3 digit code
The Arabian Horse Association of Michigan The Arabian Horse Association of Michigan (AHAM), is one of four clubs in Michigan dedicated to the promotion and well-being of the Arabian horse. AHAM works in conjunction with the other clubs to help with this promotion. AHAM is affiliated with Region 13, which encompasses Michigan and Indiana. They are actively involved in promoting the regional show and always strive to bring new people to the Region and their regional show. AHAM was established more than 60 years ago. This club was started to benefit all of the Arabian horse enthusiasts in the Michigan area. AHAM prides themselves on being in-tune with the wants and needs of their members. They are extremely exhibitor friendly and are always open to new ideas that will add benefit to their membership. AHAM keeps their members up-to-date on current happenings with the monthly enewsletter, and with daily and weekly updates on their website, www.miarabhorse.com, their Facebook page (Arabian Horse Association of Michigan), or on their twitter account @AHAMMichigan. AHAM holds two shows annually to help with the promotion and to give back to their membership. The first show is usually the first weekend in May and is called the Michigan All Arabian Horse Show. This horse show has been in existence for 56 years and has always proven to be a competitive, exhibitor friendly horse show. In recent years, the Michigan All Arabian Horse Show has added exciting classes aimed at encouraging this healthy competition and giving back to the amateurs in Region 13. ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
These “Amateur Extravaganza” classes are offered in all three performance divisions, Saddle Seat, Hunt Seat, and Western, and are open to purebred and Half-Arabians. These are jackpot classes, and the association adds a considerable amount of prize money to the pot. The AHAM club is open for anyone to join, and they do have members from all over the country that affiliate themselves with AHAM. To join AHAM, please log onto their website at www.miarabhorse.com and click on the membership info icon. This will guide you to the appropriate forms to complte. Or, you may email the Membership coordinator at judyzumbach@gmail.com. If you are interested in being more involved with AHAM, please go to their website at www.miarabhorse.com and email any of the board members listed. AHAM would be happy to give you more information on the next monthly board meeting or provide you with information on how to volunteer at the next horse show or clinic.
www.miarabhorse.com WWW.SADDLEUPMAG.COM
Blue Blue Water Water Pleasure Pleasure Horse Horse Association Association
2013 Show Dates & Classes (tentative)
New For 2013 - All Around Champion Exhibitor Saddle! • Scholarship! • Youth Teams! • Weekend High Points!
New
Renewal
Individual Membership $25
Family Membership $35
A $5 office fee added to each renewal membership purchased after May 1, 2013
Name
http://bwpha.angelfire.com
Address City
State
Home Phone
Email/Website
Make checks payable to: BWPHA Mail application to: Jessica Groat 7171 W. Marlette Road, Marlette, MI 48453 810.656.0121
Zip
1) Name
DOB
Back No. Request
Point Secretary Use Only:
2) Name
DOB
Back No. Request
BWPHA #
Amount Paid
3) Name
DOB
Back No. Request
4) Name
DOB
Back No. Request
Date Received
Check #
http://bwpha.angelfire.com ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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BUCKSKIN HORSE ASSOCIATION OF MICHIGAN OFFICE USE ONLY
2013 Membership Form Please check one: Home of:
The All American Buckskin Horse Congress
o New o Renewal
Check type of membership desired: o Youth (18 and under as of 1/1) ...$20 o Individual .........................$25 o Family w/no youth .............$30 o Family w/youth .................$40 o Individual Life .................$200
Date Rcvd Ck# Amt Card Sent BHAM#
Name Address City Phone (
State )
o (check if unlisted)
Zip
Name and birth date of all youth (must have for class eligibility):
Make checks payable to: BHAM c/o Jill Kursinsky 3100 Bennett Rd., Sandusky, MI 48471 Questions? cmcjillkur@yahoo.com or (810) 650-6910
If you would be interested in volunteering to serve on various committees, please check below: o Congress o Buckskin Bullet o Sponsorship o Trail
o Publicity o Jr BHAM o Points o Rules
o Futurity o Awards o Nominations o Banquet
o Weekend Shows o BHAM Representative o Lifetime Achievement o Stallion Service Sale
www.michiganbuckskin.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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CENTRAL MICHIGAN HORSEMAN’S ASSOCIATION www.CMHA.info
2013 Tentative Show Schedule All shows held at the Shiawassee Co. Fairgrounds in Corunna, MI
• April 27 & 28 (Fuzzy Warm Up Show) • May 18 & 19 • June 22 & 23 • June 1 & 2 • July 13 & 14 • June 8 & 9 • August 17 & 18
ALL BREEDS WELCOME For membership and additional information contact Show Secretary:
Katie Hartsuff cmhasecretary@gmail.com or 989.743.5006 or visit us online
www.CMHA.info
www.CMHA.info ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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Eastern Michigan Arabian Association 2013 Show Dates: May 17-19 ~ Ingham County Fairgrounds June 21-23 ~ MSU Pavilion, East Lansing July 19-21 ~ Shiawasee County Fairgrounds Sept. 6-8 ~ Ingham County Fairgrounds
Our Dressage Division is open to all riders regardless of age and horses of any breed Scores earned at our shows may be submitted to Midwest Dressage Association for Year End Awards *Riders must be current members of MDA prior to earning scores
For more information, visit www.emaa.org
For more information, visit www.emaa.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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2013 MEMBERSHIP APPLICATION
Fort Custer Horse Friends Association
MEMBERSHIP FEES:
Single $15/year
• 15 Miles of Horse Trails • 5 Creek Crossings • Separate from Bikes
Family $20/year
Name Address City
State
Zip
Grand Rapids
Flint
Lansing
Phone
Kalamazoo
I hereby release FCHFA from any and all liabilities for personal loss/injury and/or property damage of any kind. I accept all responsibility for myself, family members and personal property.
Mail completed form with check made payable to: FCFHA FCHFA / Sue Bertch 1959 E Y Avenue, Vicksburg, MI 49097
Ann Arbor
Fort Custer Recreation Area is a 3,033 acre State Recreation Area located between Battle Creek and Kalamzoo, MI
http://fchfa.org
http://fchfa.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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Foundation Quarter Horse Registry - Michigan 2013 Michigan Affiliate Membership Application Fees:
Single $10 o Family $25 o Youth $5 o
Name
Current MI FQHR #
Street City Phone
State
Zip
Do you want your newsletter o regular mail or o email?
Return to: Julie Ludwig 2441 Scott Road North Branch, MI 48461
Cell
FQHR-MI 2013 Release of Liability – This Release covers all shows/clinics offered by the FQHR Michigan Affiliate for the 2013 Year.
Printed Name
Signature
Date
Children’s Names/Ages
WWW.MICHIGAN-FQHR.COM
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Genessee County 4-H Horse Leaders Association 2013 Shows All shows will be held at the Cummings Center, 6130 E. Mount Morris Rd., Mt. Morris, MI 48458
About the
Genessee County 4-H Horse Leaders Association
©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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www.glass-ed.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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2013 Membership Form Membership Type: (please check one) o Life – Individual $100.00 (+$5.00 annually) o Life – Household $200.00 (+$10.00 annually) o Household $30.00 (2 adults and all youth)
o Individual $25.00 o Youth only $10.00 (18 & U as of Jan. 1, 2013) o Pee Wee $5.00 (10 & U, includes lead line & w/t)
o I do not want my address listed on the membership list.
o I do not want my phone number listed on the membership list.
Name Membership Fee Enclosed:
Address City
State
Phone
Zip
Make checks payable to:
Name, ages and birth date of all youth 18 & younger (age as of January 1, 2013).
GREAT LAKES BUCKSKIN ASSOCIATION Mail to: Judy Pletcher, Secretary 4643 Birch Run Road Millington, MI 48746
Name
DOB
/
/
Name
DOB
/
/
Name
DOB
/
/
Name
DOB
/
/
Visit us online at:
DOB
/
/
www.GLBAHorse.com
Name Attach separate sheet if necessary
2013 Show Dates Shows are held at the Montcalm County Fairgrounds, Greenville, MI
June 1 & 2 • July 13 & 14 • August 31 & September 1 Open & IBHA Classes! Visit us online at:
www.GLBAHorse.com ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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Great Lakes Team Penning Association
2013 MEMBERSHIP #
5691 Rich Road, Alma, MI 48801
989.763.3276 • www.gltpa.com 2013 MEMBERSHIP APPLICATION
Two Saddles...
Individual $15.00 Family $25.00 Includes a subscription to the GLTPA Newsletter Make checks payable to: Great Lakes Team Penning Association
Name
(please print)
Name
to be given away at the end of each series, plus win $ at every show!
SSN#
Name
SSN#
SSN#
Name
SSN#
Address
City
Phone Email It is mandatory that you ANSWER THE TWO FOLLOWING QUESTIONS. Please initial after each answer if more than one person is answering each question. How many years or months have you been sorting or penning? Have you won over $500 since your first time sorting or penning?
State
Zip
GLTPA SERIES SHOWS Start Time 1pm
January 26, February 9, March 23 & April 20 Bar JR Ranch, 5691 Rich Road, Alma, MI If you are a beginner or novice, compete against riders at your level for a saddle, not against experienced riders. ONE SADDLE to novice and below rider, ONE SADDLE to amateur and above rider!
Come Join The Fun!
* Your rating will be determined by the Great Lakes Rating Committee. You will receive your membership/rating card and rules shortly after your membership is accepted.
©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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KENSINGTON TRAIL RIDERS ASSOC. 2013 Membership Form Individual $20 Family $25
Mail to: Kensington Trail Riders P.O. Box 453, Milford, MI 48381
Business $50 Sponsor $100
Name (print) Address City
State
Phone
Zip
Email address
I the undersigned, having read and understood the contents of this statement, agree to; RELEASE, ABSOLVE, FORGIVE and HOLD HARMLESS the Kensington Trial Riders Association, its members, its officers, and board members from all and any liabilities, connected to, any claims, judgment losses, costs or expenses, resulting in, but not limited to, death, physical injury, property damage or theft, to myself or my family members, pets and/or livestock, in connection with any event sponsored or organized by the Kensington Trail Riders Association. I and my family members agree, to participate in these activities fully understanding that horses can, and do act unpredictably at times, which is inherent to their nature. I further understand these activities could result in permanent injury or death to me or my family members and agree to participate in these events, knowing these activities are potentially dangerous and hazardous. Will you or any family member be wearing helmets when you ride? Please circle:
YES
NO
I further agree to register at the Kensington Metropark office before riding a horse at Kensington Metropark facility, as required by the Kensington Metropark Authority.
Signature
Date
Kensington Trail Riders Association (KTRA) is a group of like minded individuals that span both genders and all age groups. Our horses are every breed and color imaginable. The common threads that connect us are our love of riding and a desire to keep Kensington Metro Park as a destination for trail riders. With more than 25 miles of equine riding, Kensington provides wide, sandy trails, diversity of terrain, and ease of access. KTRA members have work bee activities so everyone can enjoy the trails year-round for club activities and camping events. One of the highlights this past year was the first annual Billy Gunn Trail Challenge where we encouraged members and non-members alike to come and ride a mile, ride a trail, or ride all the trails in the park on a single day. We generally host two fun-filled camping weekends each year - one in spring, one in fall. Both camping weekends have a camp breakfast on Saturday morning and a camp potluck with a band on Saturday night. It is a wonderful, funfilled event.
Come ride with us! 2013 Events March 23 ~ Annual Banquet, Square Dance and Silent Auction, Lazy J April 27 ~ Member Appreciation Day May 17-19 ~ Spring Campout July 4 ~ Milford Parade August 17 ~ TBD September 14 ~ Billy Gunn Trail Challenge October 4-6 ~ Fall Campout November 30 ~ Milford Thanksgiving/Christmas Parade Š2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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Michigan Appaloosa Horse Association
2013 Membership Fees:
Application for Membership - Membership Year HOUSEHOLD ADDRESS
MApHA
(January 1st – December 31st)
City
State/Prov
Zip
)
Country
Youth (each)
$5
Horse Nominations (ea.) $5 Family Lifetime
$250
Husband/Wife Life.
$200
Single Lifetime
$150 $10 Total:
Make check payable to: MApHA First
Initial
Non Pro?
ApHC #
MApHA#
First
Initial
Non Pro?
ApHC #
MApHA#
Mail to: Judy Biber, MApHA Treasurer 28328 Dixboro Rd. South Lyon, MI 48178 * Checks returned for Non Sufficient Funds will incur a $25 charge *
Office Use Only: First
Initial
Non Pro?
ApHC #
MApHA#
Check #
YOUTH SECTION o New o Renewal Last Name o New o Renewal Last Name
$15
Saddle Up!
SINGLE ADULT SECTION o New o Renewal Last Name
Single Adult
Add to Online Community List? o Y o N
Email HUSBAND & WIFE SECTION o New o Renewal Last Name o New o Renewal Last Name
$20
Michigan Appaloosa Horse Association
Street Address
Phone (
Husband & Wife
Amt
Date Rec’d First
Initial Birth Date
ApHC #
MApHA#
First
Initial Birth Date
ApHC #
MApHA#
Notes
HORSE NOMINATIONS Points for MApHA Year End Awards do not begin to accumulate until 1.) The Horse Nomination is paid/received by the MApHA for the show year and 2.) Both the owner and exhibitor are current MApHA members. * Mail the following information EXACTLY as it appears on ApHC Registration papers. Please print on separate sheet: 1. Horse Reg. Name 2. ApHC Reg. # 3. Sex 4. Year Foaled 5. Owner(s) Name(s) 6. ApHC Member # for one/both owners.
www.michappclub.com
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NATIONAL ASSOCIATION © OF COMPETITIVE MOUNTED ORIENTEERING
Send completed membership application and fee to: MiCMO / Barb Drake 4545 W. Walker, St. Johns, MI 48879 (preferred) or NACMO / Jim Klein
MEMBERSHIP • www.MiCMO.org
24305 98th St. NW, Zimmerman, MN 55398 Legislative District
NEW RENEWAL STATE DUES: $10 MI State Dues Total NATIONAL DUES: $30 Family $20 Individual Lifetime Enclosed: $ List All Family Members
List All Horse(s) that may be ridden for CMOs (include on separate sheet)
Name Adult
* List horses name as it appears on registration papers if applicable. * If horse has never been issued a NACMO #, write “new” in the # line.
#
Horse Reg. Name
#
Horse’s Nickname
Junior (birth date required)
Name Adult
# Junior (birth date required)
Name Adult
#
Junior (birth date required)
Address
breed
sex
age
reg.
y n
Ph/Fax
City Zip
State Senator
State -
County
Email I would like my newsletter & other information sent by US mail.
Signature
Date
www.MiCMO.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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2013 Membership Application Membership Type New
Date
Annual Dues: $30.00 for Individual or Family
Name
Please send check payable to: MHDVA and this form to:
Farm Name Address City Phone (home)
Renewal
State
Zip
(work)
Gary Currier 3632 Orchard View Rochester Hills, MI 48307 Membership questions can be directed to: Gary Currier 248.853.7671 or email gfcurrier@comcast.net
Children Visit us online at: Breed of Horse
Vehicle Type(s)
www.mhdva.org
It shall be the purpose of the Association to aim for the preservation and maintenance of carriages; carriage literature and related items; to established and maintain a non-profit medium for the exchange of information regarding horse-drawn vehicles and the development of the driving horse; to serve as an accurate and technical source of information for the benefit of its members and the general public; to operate this corporation exclusively for scientific, historic, literary, and educational purposes; to see that no part of its net earnings, if any, shall inures to the benefit of the private individual; to encourage the use of carriages and other animal drawn vehicles for the promotion of public interest in their contributions to our cultural, social and economic history. Also, to promote knowledge of, and safety in, horse related activities
Visit us online at:
www.mhdva.org Š2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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MICHIGAN QUARTER HORSE ASSOCIATION P.O. Box 278, Greenville, MI 48838 • 616-225-8211 • Fax: 616-225-8313
www.MIQUARTERHORSE.COM MQHA Membership Application*
q New q Renewal
Youth* (Date of Birth / / ) $30 q Includes MQHA Journal 12-month $20 q Without MQHA Journal 12-month Adult $45 q 12-month Individual with Journal $35 q 12-month individual without Journal $65 q Adult with Spouse Other q Farm, Ranch, Corp. or Partnership 12-mo. $45 $250 q Individual Lifetime
* MQHA requires a copy of youth’s birth certificate. Please add $20 for 1st class shipping or Canadian memberships
First Class Postage (REQUIRED ON CANADIAN MEMBERSHIPS) q To upgrade from third class to first class $20
A few benefits of your MQHA Membership: • Michigan Quarter Horse Journal • Nearly 50 AQHA Shows Annually • Youth World Show Team & Youth Congress Team • Stallion Service Sale • Michigan Quarter Horse Breeders Futurity • AQHA/MQHA Annual Trail Ride • Queen Contest • Various Clinics • Annual Convention & Year End Awards • Leg Up Program • Youth Scholarships Please make checks payable to MQHA & mail to:
MQHA, P.O. Box 278, Greenville, MI 48838 For office use only:
Name
MQHA ID No.
Spouse (if applicable)
Spouse’s MQHA ID No.
(Whenever possible, please attach payment to form.)
Address
Date:
City
State
Michigan County
Phone
Amt. $
Zip
Payment Type: q Check if unlisted
Signature
Credit Card Information: q Visa q MasterCard q Discover SVC Code (from back): Account Number Exp. Date / Zip Code: Tax Tip: Contributions or gifts to the MQHA are not deductible as charitable q Credit card billing address is NOT the same as above. If not contributions for federal income tax; however dues and advertising payments the same, please write the billing address on the back of this form. may be deductible by members as an ordinary and necessary business expense.
Check # Cash Credit Card Amount: Taken By:
Does your association have a Mission Statement? The MQHA/AQHA Partnership will unite American Quarter Horse owners to develop and provide beneficial services for all horse owners which enhance and encourage American Quarter Horse ownership and participation. To generate growth of affiliate membership via the educational programs, recognition, monitoring public policy, marketing, promotion and publicity of the American Quarter Horse.
www.miquarterhorse.com ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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Michigan Trail Riders Association, Inc. 2013 Membership Application
Membership must be in effect for 30 days prior to ride date. Name: Address: City:
State:
Zip:
Would you prefer to receive the newsletter by mail? o Yes Would you print your newsletter from the MTRA website to save printing and postage? o Yes Would you want the newsletter emailed to you? If yes, please list your email address below:
Phone Number: Children’s Names/Ages:
Please mail check with completed application to:
Michigan Trail Riders Assoc., Inc. 5806 E. State Road, Hale, MI 48739
Date: New:
Renewal:
Chris Rayner (989) 473-3205 Secretary/Treasurer
MTRA#:
www.MTRA.org ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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MID-MICHIGAN OPEN HORSE SHOW CIRCUIT 2013 Membership Form MEMBERSHIP Individual $20.00 Family $30.00
BACK NUMBERS Reserve $5.00 per number
(includes any family member still living at home)
Primary Name
2012 Prizes.... (reserves number only - we do not print copies) ~ or ~ Included 5 Saddles! Laminated $10.00 (reserves number & you receive two copies)
Birth Date
Back# Request (members 1-600 only) Address City
State
Phone
Zip
MMOHSC Gave Away Over $10,000 in 2012 Prizes & Awards, including Five Saddles!
Name
Birth Date
Back# Request
Name
Birth Date
Back# Request
Name
Birth Date
Back# Request
Thank you for your interest in MMOHSC. Members are eligible for Year-End Awards.
Please make checks payable to MMOHSC and mail to: Andrea Laney 4698 E. Weidman Rd., Rosebush, MI 48878
Does your association have a Mission Statement? If so, please include it. Our shows are dedicated to providing a rewarding show experience to horse enthusiasts of all ages, backgrounds, and disciplines. What year was the association founded? --What is the average number of members that you have annually? 150 Does your membership run January to December of each year? Yes
Are there year end awards? If so, please explain: Yes, in 2012 we awarded 5 new saddles to our top riders along with over $6000 in prizes! Do you have an annual banquet? Yes Do you have an annual fundraiser? No
What breed/discipline does the association focus on? All breeds and all disciplines are welcome!
Do you have monthly meetings? Yes
How many shows/events do you hold each year? 14 open shows.
Do you have a newsletter? Yes, it is available through our website and emailed.
Where are they normally held? Central Michigan area.
What is your association website? www.MMOHSC.com
Do your shows have Nat’l. Association approval/affiliation? Yes, APHA-PAC.
Who should be contacted with questions about the association? All contact info is available through our website, or you can call Kathy Netzley at 989.330.3718
Is there a youth division? Yes Is there an amateur division? Novice Horse and Novice Rider divisions. Are there daily high points? If so, please explain: Yes, we pride ourselves on offering outstanding daily or weekend high point awards.
Do have a Stallion Service Sale or Futurity? No
How do you feel the current economy is affecting your association? We are increasing membership because we are an affordable alternative to breed shows and we have an excellent awards structure!
www.MMOHSC.com ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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MIDWEST DRESSAGE ASSOCIATION 2013 MEMBERSHIP FORM
Office Use Only PM date Check #
December 1, 2012 - November 30, 2013
Amt. Rec’d.
MDA MEMBERSHIP INFORMATION: please check all applicable boxes
Renewal (MDA #) New Address/Phone/Email
New Member New Name (list previous)
Name Farm/Business Address City Day Phone Email Open Adult Amateur
State
Zip
Evening Phone
Junior/Young Rider
DOB:
(birth date required/must not have reached 21 as of 12/1/12) Rider Status: You must check one of the above boxes or you will be considered OPEN for MDA purposes including MDA Year End Awards. Adult Amateur status is limited to those riders who meet the guidelines of USEF GR808. See USEF.org/rules
Send completed form and check payable to MDA, to Erin Anderson, Membership Coordinator, 2399 Sullivan Rd., Oxford, MI 48371
Current USDF Member (list #)
If you DO NOT want your address or phone number to be included in our MDA Directory, check here I would like to be listed in the professional section of the MDA Directory for the following services: Boarding Facility Trainer (will not travel) Training Facility Judge L-grad or licensed Trainer (will travel) Other Horse Related Business please specify
Single Membership Adult Am. or Open $51.00 Junior Membership $41.00 Add’l. Family Memberships, +$21 each $21.00 (include add’l form for each member) I have a Non US Mailing Address and would +$15.00 like to receive USDF Connections via mail (online copy no additional chg.) I would like to make a tax deductible gift of $ to the following: Schooling Shows Annual Awards Educational Clinics $ Less MDA Bucks Included
Membership questions: Erin Anderson 248.318.8597 Any check returned NSF will be charged an add’l. $30 and membership will not be processed until funds clear our bank. or email: membership@midwestdressage.org
Total $
WWW.MIDWESTDRESSAGE.ORG
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Michigan & Indiana Chapters of the...
NATIONAL JUNIOR BULLRIDERS ASSOCIATION MEMBERSHIP & RELEASE TO RIDE PARENTS CONSENT AND GENERAL RELEASE
Name Address City
State
Phone
Zip
Cell
Date of Birth T-Shirt Size
Age Group Competing In Coat Size
SS#
I am enclosing $50 National Fee (no add’l. state fee!) I am enclosing Copy of Birth Certificate Mail completed/notarized form, fee & copy of Birth Certificate to:
NATIONAL JR BULLRIDERS ASSOCIATION 6371 Clymer Rd., Coloma, MI 49038 MICHIGAN & INDIANA DIRECTOR MJBA1
Lori M. Eisenman 269.487.2666 lorieisenman07@gmail.com
SIGNED (Mother or Legal Guardian)
SIGNED (Father or Legal Guardian)
SIGNATURES MUST BE NOTARIZED
COUNTY OF STATE OF This instrument was acknowledged before me this
day of
, 20
Notary Public Commission Expires
Does your association have a Mission Statement? To provide junior bullriders with an opportunity to compete with some of the best youth bullriders and the best stock in the United States.
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Pontiac Lake Horseman’s Association Making a difference for the future at Pontiac Lake State Recreation Area
2013 Membership Application Membership is for one year and expires each year on June 1st. Please indicate which membership you are applying for.
o Individual $10 o Family (includes children under 18) $15 o Business $35 Name Please make checks payable to:
Spouse’s Name
Pontiac Lake Horseman’s Association (PLHA)
Children’s Names under 18
Mail signed application to:
Address City Home Phone
State
Zip
Pontiac Lake Horseman’s Assoc. Attn: Membership Coordinator P.O. Box 798 Highland, MI 48375
I hereby release the Pontiac Lake Horseman’s Association, its membership and officers, of any and all liabilities resulting in physical injury, property damage or personal loss to myself or my family members in connection with any activities sponsored or organized by this Association. I realize that horses can behave unpredictably and I agree to participate in these activities fully aware of the potential risks involved.
Signature
Date
Does your association have a Mission Statement? To promote, improve, and preserve the Pontiac Lake Recreation Area an its equestrian trails, while encouraging proper land management and equal access. To advocate and provide a voice of leadership with policy makers and a physical presence in regard to trail issues and improvements at Pontiac lake Recreation Area.
What year was the association founded? 2000 What is the average number of members? 125 families Does your membership run January to December of each year? No, June 1st to May 31st. What breed/discipline does the association focus on? All breeds - we are a Trails group. If breed association, is there an Incentive Program? No How many events do you hold each year? Four Where are they normally held? Pontiac Lake Rec. Area Is there a youth division? N/A Is there an amateur division? N/A Are there daily high points? N/A Are there year end awards? N/A Do you have an annual banquet? Yes, in June.
Do you have an annual fund-raiser? Yes, bi-annual fundraiser events - one in June and one in September at the Pontiac Lake Recreation Area. Do you have a Stallion Service Sale or Futurity? N/A Do you have monthly meetings? No - 4 board meetings a year, held every 3 months. Do you have a newsletter? Yes, it is mailed. What is your association website? www.PLHA.info Who should be contacted with questions? Susie Sulla, PLHA Trail Boss: 248-933-6338 or by email us5495@frontier.com or plhanews@gmail.com How do you feel the economy is affecting your group? We are doing okay, our membership is cheap and all events are super fun!
Visit us online at:
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Visit us online:
www.proudlaketrailriders.org
2013 Membership Application Membership Rates
Name
please check one
Address City
State
Home Phone
Zip
Single Family
$15.00 $20.00
Business
$25.00
(includes 4 business card size ads in the club newsletter)
For more information, please call Sue Donaldson at 248.684.4117 Please make checks payable to: Please mail your application to: Proud Lake Trail Riders Association, Inc. PLTRA Memberships, 3210 Red Fox Lane, Milford, MI 48381
Do you have an annual banquet? Yes, usually in February with a guest speaker. Do you have monthly meetings? No - we meet quarterly. Do you have a newsletter? Yes, it is mailed unless member has email, then it is emailed. What is your association website? www.proudlaketrailriders.org Who should be contacted with questions? Sue Donaldson 248.684.4117 How do you feel the economy is affecting your group? Our membership and attendance is down.
Visit us online:
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RANCH HORSE ASSOCIATION OF MICHIGAN 2013 Membership Application Please check which membership you are purchasing.
Make checks payable to:
Ranch Horse Association of Michigan Mail to: Sam Holwerda, 7115 Meadowbrook Rd., Benton Harbor, MI 49022
o Family Membership $30 o Individual Membership $15 o Youth Membership $10 FOR OFFICE USE ONLY: Check Amt.: Important: All memberships are based on calendar year and expire December 31. Please allow Date Rec’d.: Check #: RHAM #’s: approximately 2 weeks for processing. One form per membership. Please duplicate if needed. FAMILY MEMBERS
Name
Mailing Address
Name
ARHA #
City, State, Zip
Relationship
Spouse
Phone(s)
ARHA #
Email Address
DOB
ARHA # (also list ARHA Amateur # if you have one)
Date
(attach separate sheet for additional family members)
Signature
Signature
Must be signed by ALL adults.
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Sleepy Hollow Trail Riders Association Membership Application Membership Year
(Jan. 1 to Dec. 31)
New!
Renewal
Name Address
City
State
Zip
Email Phone Numbers (home)
(cell)
Membership Type o Individual $15 per year o Family $20 per year (includes children under 18 years old) Children’s Names
Signature
o Workbee Cook o Annual Meeting o Expo
Sleepy Hollow Trail Riders Association 9322 Alward Road Laingsburg, MI 48848 Our website www.shtra.org contains our newsletters, event info, SHTRA merchandise and email contact
As a member, I would like to help in the following activities: o An Event Host/Hostess o Photographer o Workbees/Trail Projects
Please make checks payable to:
o Board or o Committee o Media Liaison o Can donate use of trail maintenance equipment
Date
Signature
Date
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WATERLOO HORSEMEN’S ASSOCIATION Mid-Michigan’s Premier Equestrian Trails In the Heart of Waterloo Recreation Area between Ann Arbor and Jackson
2013 Membership Application ~ January 1, 2013 thru December 31, 2013
Name
www.facebook.com/waterloohorsemen/group
Phone
Address City Membership Renewal
State New Membership
Zip Email WHA Newsletter Number of family members
Single ............$20.00 Single ............$20.00 Send via U.S. mail Family ............$25.00 Family ............$25.00 Yes, I will allow my name, address, phone number and email to be published in the WHA membership list. I hereby release Waterloo Horsemen’s Association, Inc. of any and all liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. Signature
Date
Send completed application and payment to: Waterloo Horsemen’s Association, Inc. Renewal dues must be received by 10550 Fowler Road, Hanover, MI 49241 January 30th, 2013 Visit our website to pay with 734.323.0011
Names of family members
2013 ACTIVITIES & EVENTS February 16 April 20 May 18 May 25-27 August 24 Aug 31-Sept 2 November 2-3
WHA Annual Banquet Green Lake Ride - 9 Miles Work Bee & Lunch Memorial Day Weekend Poker Ride Work Bee & Lunch Labor Day Weekend Poker Ride Turkey Ride Weekend
www.waterloohorsemen.org
Does your association have a Mission Statement? If so, please include it.
What year was the association founded? 1993
Do you have an annual banquet? Yes
What is the average number of members that you have annually? 250
Do you have an annual fundraiser? Yes
Does your membership run January to December of each year? Yes
Do have a Stallion Service Sale or Futurity? NA Do you have monthly meetings? Yes Do you have a newsletter? Yes, mailed or emaile
What breed/discipline does the association focus on? All breeds are welcome!
What is your association website? www.waterloohorsemen.org
How many shows/events do you hold each year? 5-6 shows.
Who should be contacted with questions about the association? Chad Simpson, president 734.323.0011
Where are they normally held? Horsemen’s Campground Do your shows have Nat’l. Association approval/affiliation? No
How do you feel the current economy is affecting your association? Unfortunately, negatively.
Is there a youth division? NA Is there an amateur division? NA Are there daily high points? If so, please explain: NA Are there year end awards? If so, please explain: NA
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Just fill out the membership form below and mail it (with check payable to WMMHC) to:
Max White 4714 4 Mile Road NW, Walker, MI 49544 If you have any questions about membership please call 616.784.1928 or email hilsondale@gmail.com
~ 2013 WMMHC Membership Form ~
I want to be part of the Western Michigan Miniature Horse Club!
Name(s)
Yearly Membership Rates:
Youth Name(s)
Adult (18+)
$10.00 x
=$
Mailing Address
Youth (13-17)
$5.00
x
=$
Youth (12 & Under) FREE
x
=$
Family Membership $25.00 x
=$
City
State
Zip
Phone
(includes 2 adults & all children under 18 in household)
Email Please check if you DO NOT want your information included in the membership directory.
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TOTAL DUE $
http://wmiminiaturehorseclub.weebly.com
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Western Michigan Appaloosa Regional 2013 Membership Application Farm Name Street Address City
State/Prov
Home Phone
Work
Fax
Zip
$20.00
Adult (each)
$13.00
Youth (each)
$ 7.00
Family
$30.00
Family Lifetime
$150.00
Single Lifetime
$100.00 $10.00 Total:
Country
First
Initial
Non Pro?
ApHC Nat’l Member #
Make check payable to: WMAR Mail to: Tami Vickery, Treasurer 3200 Eric Drive White Lake, MI 48383
First
Initial
Non Pro?
ApHC Nat’l Member #
* Checks returned for Non Sufficient Funds will incur a $30 charge *
ADULT SECTION **Must have ApHC membership #’s if you are a Nat’l. Member o New o Renewal Last Name o New o Renewal Last Name
Husband & Wife
Saddle Up!
HUSBAND & WIFE SECTION **Must have ApHC membership #’s if you are a Nat’l. Member o New o Renewal Last Name o New o Renewal Last Name
Membership Fees:
Visit our website for updated information:
www.WMARAPP.org First
Initial
Non Pro?
ApHC Nat’l Member #
First
Initial
Non Pro?
ApHC Nat’l Member #
Office Use Only: Check #
YOUTH SECTION **Must have ApHC membership #’s if you are a Nat’l. Member
Date Rec’d
o New o Renewal Last Name o New o Renewal Last Name
Cards Sent First
Initial Birth Date
ApHC Nat’l Member #
First
Initial Birth Date
ApHC Nat’l Member #
Amt
Notes
Are there year end awards? Yes. No points will count until memberships are paid. Do you have an annual banquet? Yes. Do you have an annual fund-raiser? We have no set fund raiser, but try to hold fund-raisers throughout the year. Do you have a Stallion Service Sale or Futurity? No. Do you donate funds for scholarships? No. Do you have monthly meetings? Yes, but not usually during show season. Do you have monthly minutes? Yes, taken at all meetings Do you have a newsletter? Yes, monthly, posted on our website and printed within Saddle Up! Magazine. What is your association website? www.WMARAPP.org Who should be contacted with questions? Our President, Mr. Terry Shelhamer, 13775 Riverside, Constantine, MI 49042. Phone: 269-435-7276
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For office use only Date Rec’d
2013 Membership Application Individual Adult (19 & over) $25
Check #
Family (adult, spouse & children under 19 years old) $35
Adult 1 Name
Birth Date
Address
City
Phone
State
Spouse
Birth Date
Child Name
Birth Date
Child Name
Birth Date
Child Name
Birth Date
Zip
Amount Interests: Boarding Breeding Instructional Clinics Showing: Breed Open Training Trail Riding Other Volunteer: Please check at least one Show Ring Steward Show Ribbon Helper Show Announcer Show Announcer Helper Show Clean-Up Show Gatekeeper Show Barn Manager Trail Judge (Trail Exp. Required) Annual Banquet Helper Silent Auction Helper
Tell us about your horses: Name, breed, color, age, sire, dam, for sale or lease? Adult member signature for self and any minor family members Date Signature spouse Date Please submit information on Make checks payable to: WMHA. Mail application and payment to: Melissa Penrod, P.O. Box 83, Acme, MI 49610 a separate piece of paper
www.WMHAclub.com ©2013 C & C PUBLISHING, INC. • 2013 MEMBERSHIP DRIVE
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YANKEE SPRINGS TRAIL RIDERS ASSOCIATION Southwest Michigan’s Beautiful Equestrian Trails Located Between Wayland & Hastings
www.ystra.org 2013 MEMBERSHIP APPLICATION
Horseman’s Camp Facilities • 25 Rustic Camp Sites w/Tables • 10 Miles of Trails in Rec Area • 9 Miles of Trails in Game Area • Day Use Staging Area • 4 Pit Toilets • Hand Pump Water • Picket Posts or Tie Rails • Community Pavilion
YEARLY MEMBERSHIP $20
Name Address City Phone
State
Zip Lansing
Please mail your completed application with check made payable to: YSTRA
Yankee Spring Trail Riders P.O. Box 352 Delton, MI 49046 If questions call YSTRA President: Ronald Walker (269) 945-4556 or (616) 437-0747 cell
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