NCHA Membership Application

MEMBER INFORMATION

New Member?

How did you hear about us?

What was the other source?

Renewal? *Find by Name or #

Membership#

First Name*Req'd for individuals

Middle Name

Last Name*Req'd for individuals

DOB*Req'd for individuals

Ranch, Business, Partnership Name(requires W9 on file)

Business Contact Name

Address *Req'd

Country *Req'd

City *Req'd

State/Province *Req'd

Zip/Postal Code *Req'd

Phone *Req'd

Cell

Other

Confirm Email

All other information is on file. If address or contact information changed, please UPDATE.

Use home address to assign my RIDER circuit OR I designate the following RIDER circuit for 2022:

CIRCUIT DESIGNATION IS NOT RETROACTIVE. TO DESIGNATE A CIRCUIT FOR A HORSE(S) YOU OWN OR IF YOU PURCHASE A HORSE DURING THE YEAR AND WISH TO CHANGE ITS CIRCUIT, PLEASE EMAIL LSMITH@NCHACUTTING.COM

MEMBERSHIP TYPE

Application Year

New Member - FREE includes the online version of Cutting Horse Chatter

Renewal* - $100 includes quarterly issue of Cutting Horse Chatter (US and Canada only, international members receive online version)

Youth - $25 Age 18 and under, includes printed version with Youth Scholarship and Convention coverage all other issues available online

This Member is a: Trainer Non-Pro Only Amateur/Non-Pro None of these

AMATEUR/NON-PRO

All applicants must answer questions 1 through 5

1. What is your occupation?

2. Do you understand that you or a valid family member must own all legal and equitable interest to any horse you show in a cutting horse contest?

Yes No

3. Have you ever been or are you currently employed in any capacity by a training operation?

Yes No

(a) Name of employer?

(b) Dates of employment:

FROM: TO:

4. Have you ever been denied Non-Professional Status?

Yes No

5. Have you been a professional horse trainer ASTRIDE in any cattle/cow horse discipline for direct or indirect remuneration?

Yes No

(a) Disciplines in which you trained:

(b) Dates you trained:

FROM: TO:

6. Have you ever ridden, trained, or assisted in training horses or riders ASTRIDE in any equine discipline for direct or indirect remuneration?

Yes No

(a) Which disciplines:

(b) Describe the activities:

FROM: TO:

7. RELATIONSHIP EXCLUSION: Are you married to, have been married to, are in or have been in a cohabitational relationship with a person who is currently or previously engaged in activities that would require that peron to be classifed as a professional according to rule 51.1.3?

Yes No

8. RESIDENCE EXCLUSION: Within the last 5 years have you resided either a) on a premises where a training operation (any horse discipline) was operation OR b) with any person who was engaged in activities that would require the person to be classified as a professional according to Rule 51.a.3?

Yes No

9. Have you ever been denied Amateur status?

Yes No

Please reference the NCHA rulebook for the full Amateur/Non-Pro criteria and rules

ELECTRONIC SIGNATURE

By establishing or renewing your NCHA membership, or by paying your membership dues, the person making this membership application, including youth and parents where applicable (the “Applicant(s)”), as a condition of membership, agree to become familiar with and be bound by the rules of the National Cutting Horse Association published on the NCHA website. The Applicant(s) also expressly agree to have all disputes related to compliance with or violation of the rules resolved by the procedures provided in those rules and that the decisions made by the NCHA in those proceedings will be final and binding. The official rules of the NCHA may be found at www.nchacutting.com. If the Applicant(s) is under 21 years of age, an affirmation of the contents in this application by a parent/guardian is required. The Applicant(s) further understands that by providing his/her mailing and/or email address(es), they consent to receive mail sent by or on behalf of the NCHA and its members for NCHA related business as authorized by the NCHA Executive Director and that they have the requisite authority to give such permission to the NCHA on behalf of the Applicant(s) and the Applicant(s)’s company.

Applicant Signature

Youth Signature Parent Signature

The person making this application (the “Applicant”) agrees to become familiar with and be bound by the rules of the National Cutting Horse Association and expressly agrees to have all disputes related to compliance with or violation of these rules resolved by the procedures provided in those rules and that the decisions made by the NCHA in those proceedings will be final and binding. The official rules of the NCHA may be found at www.nchacutting.com. The Applicant further understands and acknowledges that a false declaration in this application will result in disciplinary action by the NCHA which may include fines, probation, suspension and temporary or permanent loss of Non-Professional/Amateur status. It is also the Applicant’s responsibility to notify the NCHA office immediately upon any change in his/her Non-Professional/Amateur status and failure to do so could result in loss of Non-Professional/Amateur status for life.

Applicant Signature For Amateur / Non-Professional

MAKE A DONATION

NYCHA

Donations to the NYCHA provide the opportunity for continued education and development of our Youth members through leadership & educational activities

PAC

Donations to the PAC are used by NCHA’s Texas Events PAC to support activities promoting legislation in the state of Texas intended to support and enhance the NCHA Triple Crown

NCHA Foundation

Donations to the Foundation assist in their continued efforts to protect, preserve, and grow the sport of cutting for future generations along with providing scholarships to the youth

PAYMENT METHOD