Membership Application

8359 West Tangerine Road Marana, Arizona 85658

  Phone 520-307-1292 Monday - Friday 8 - 5 PST.        Fax 520-682-3440

Name   Street Address  
City   Address (cont.)  
Zip/Postal Code   State/Province  
Country  

Member #

 
 Phone   E-mail  
Today's Date      

All Membership Dues Expire on December 15th

1 Year Single 3 Years Single Life Single
$60.00 $165.00 $550.00
1 Year Family 3 Years Family Life Family
$100.00 $275.00 $650.00

Payment Type    Please make checks payable to Superhorse Championships. Click on one of the "Pay Now" buttons to make an online payment.

1 Year Single

3 Years Single Life Single
1 Year Family 3 Year Family Life Family

Single Membership Applicant   {Primary}    

Name

 

Birth Date

     

Horse's Name

 

Breed

 

Sex

 
All Secondary Members {Family}    

Name No. 1

 

Birth Date

 

Horse's Name

Breed

Sex

Name No. 2

 

Birth Date

 

Horse's Name

Breed

Sex

Name No. 3

 

Birth Date

 

Horse's Name

Breed

Sex

Name No. 4

 

Birth Date

 

Horse's Name

Breed

Sex

Name No. 5

 

Birth Date

 

Horse's Name

Registration number

Breed

Sex

Are you a member of any other equine sport?  Yes:      No:

 

      If Yes, Please List:   


Select the type of application you are applying for 

 Pro Card  

  A. What is your occupation?  

  B. How many years have you been in the horse industry?  


Amateur Card  

  A. What is your occupation?  

  B. Do you understand that you must own all legal and equitable interest to any horse you show in the Superhorse events?                                                                                            

  C. Have you ever been or are you presently employed, in any capacity, on a horse training operation?                                                                                                                              
   If you answered YES to C. 1. Employed By Whom?
  2. When?
  3. Your Duties?
  D. Have you ever been a professional horse trainer in any equine discipline since January 1, 2003?                                                                                                                             
 If you answered YES to D. 1. Employed By Whom?
  2. Lifetime Earnings?

I/We agree to become familiar with and be bound by the rules of the Superhorse Competition. I/We expressly agree to have all disputes related to compliance with a violation of these rules resolved by the procedures provide in the rules and guidelines.
I/We understand that a false declaration will result in suspension of Superhorse Competition privileges for a period of six (6) months for the first offense. It is the member's responsibility to notify the Superhorse Competition office immediately upon any change in his/her Non-Professional/Amateur status. Failure to do so could result in loss of Non-Professional/Amateur status for life.

PRINT this form and mail it along with payment to the address indicated above. If you paid by PayPal please send an E-Mail to info@prosuperhorse.com and let them know that is how you made your payment.

"Attn: Superhorse Competition Membership"

Applicant Signature: ________________________________Date:__________________

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 Website Last Updated on 06/01/2008