Back To Basics Horse Show Association

Back To Basics Horse Show Membership Application

Download Printable Form Here

TYPE OF MEMBERSHIP (CHECK ONE): FAMILY $40.00  INDIVIDUAL $30.00

Note: Family is defined as any and all members of the immediate family (wife/husband and/or sons, daughters, or legally adopted children who have not reached their 18^th birthday.)


NAME OF FAMILY MEMBERS AND DATE OF BIRTH IF UNDER 18 YEARS OF AGE:

PLEASE ATTACH A COPY OF YOUR
CURRENT COGGINS TO BE KEPT ON FILE.

Note:  If Coggins is not on file the original must be presented at the gate at each show.

I AGREE TO ABIDE BY THE CONSTITUTION, REGULATIONS, AND BY-LAWS AS SET FORTH BY The BACK TO BASICS HORSE SHOW ASSOCIATION (BBHSA).  If my email address is given I agree that BBHSA may use it for notifications to me of BBHSA events and news.  I understand that BBHSA will not use my email address(s) for purposes other than BBHSA business.

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Signature                                                                                                          Date

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Signature of Parent/Guardian (under 18)                                                               Date

Please make check payable to: BBHSA and mail to: BBHSA, P.O. Box 20, Catlett, Virginia 201119.