Chico
Equestrian
Association
Membership
Application
Chico
Equestrian Association is a non-profit organization dedicated to maintaining the horse arena in Bidwell
Park: Ensuring
that the park remains accessible to horses: Promoting community awareness about
horses: Donating funds to horse-related organizations; and providing
educational, fun, and social activities for CEA members and the community.
1.
Membership status:
[ ]
Renewal [
] New
2.
Membership category and dues info:
[ ]
Individual Membership (one person.) Dues are $40 per year. or $35 if paid by
January 31.
[ ] Family Membership (an
individual plus a spouse/children at same address.) Add $5 for each additional
person.
Dues
are for the calendar year only. No prorated discounts are given other than the
early payment discount described above.
3.
Contact information:
Name________________________________________________________________________________________________________
4. Additional family
members (for Family Membership) __________________________________________________________________________________
Address________________________________________________________
City____________________________
Zip ___________
Home phone ___________________________________________ Cell phone
(optional) __________________________________
Dues payment tally:
Make
checks payable to Chico Equestrian Association. Mail to: Shari Gaines.
Treasurer: PO. Box 136: Butte City. CA 95920.
If you have any questions. please call Kathleen McFarren, CEA Board
Member at (530.) 891-50.48.
5.
Emergency information - In case of emergency, contact:
_____________________________________________________Phone______________________________
Physician
____________________________________________Phone
______________________________
Release:
I agree that I will assume full responsibility and not hold anyone connected with Chico
Equestrian Association or the Association's facilities liable for any loss
damage or injury that I, my horse or equipment may suffer while associated as a
member contestant or event participant or
during any other activities I further hold harmless each and everyone from any
claim which might arise by virtue of injury
to or caused by me my family or guest or horse under the direction or control of
myself my family or guest
I agree to follow the bylaws and rules and regulations set forth by the
Chico Equestrian Association.
Signature ___________________________________Date
__________________________
(or parent/guardian's signature if individual member is under 18 years of
age)
6.
Tell it to Your CEA Board:
I'm
interested in: [ ] Being a board member [ ] Being an officer [
] Helping with CEA events [ ] Attending city meetings
[ ] Trail rides [ ] Trail trials [ ] Moonlight rides [
] Poker rides [ ] Play days [ ] Schooling shows [ ]
Clinics [
] Social events [ ] Guest speakers [ ]
[ ] Other:
____________________________________________________________________________
Comments, Suggestions
and ideas:
__________________________________________________________________________________________________________________________________