CRDA Membership Application ADULT MEMBER INFORMATION Are you a new, current, or returning member? * New - Have not been a member before Current - Was a member in the last year Returning - Have been a member before, but not last year Choose the type of membership Individual Family Junior Business Name First Name Last Name Email * Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Competing as (select all that apply) * Non-Rider Adult Amateur Professional Vintage (Age 50-59) Master (Age 60+) ADDITIONAL FAMILY MEMBERS Name First Name Last Name Participating as: (select all that apply) Non-rider Adult Amateur Professional Junior (Up to 18) Vintage (Age 50-59) Master (Age 60+) Name First Name Last Name Participating as (select all that apply) Non-rider Adult Amateur Professional Junior (Up to 18) Vintage (Age 50-59) Master (Age 60+) Name First Name Last Name Participating as: (select all that apply) Non-rider Adult Amateur Professional Junior (Up to 18) Vintage (Age 50-59) Master (Age 60+) ADDITIONAL INFORMATION AND PAYMENT Volunteering * We are a volunteer organization. Where would you like to volunteer? Shows Clinics Writing Other Suggest volunteer activity Will you allow CRDA to use photos that you appear in? * Yes No How will you pay for your membership? * Payment I'll mail a check made payable to CRDA to the following address: Carol Mayo, 57 Woodland Street, Sherborn, MA 01770 I'll send payment via PayPal: https://paypal.me/CRDressage (please indicate 'Membership' on the PayPal form) Any questions or comments? Please send me a copy of my application Please send a copy Thank you for joining/renewing with CRDA!
