NCHA Membership Application

Year

New or Renew *Required

Membership # *Required if renewing

Name *Required

Have you ever had a membership under another name(s)

Address *Required

Address 2

City *Required

State/Province *Required

Country *Required

Zip/Postal Code *Required

Phone Number

Cell

Fax

Email

Social Security #

Date of birth

Area Designation is determined by the address indicated on this form unless otherwise stated here. Area Designation for 2019 Point Year (Area Designation is not retroactive). You must also send a list of horses and riders to lsmith@nchacutting.comlsmith@nchacutting.com

Memberships that include the Cutting Horse Chatter magazine will receive one per household. Membership expires December 31st

I compete as and/or have horses that compete (please select)

AMATEUR/NON PRO NEW, must also complete Amateur/Non-Pro Application

$2000 LIMITED RIDER AND/OR OPEN RIDER/NON TRAINER

TRAINER, please dontate to PAC* below

OWNER – All owners that have horses competing will need the $80 membership or the $140 membership.

RANCH, BUSINESS, PARTNERSHIP

Contact Person

Tax ID#

Please list all owner(s) in a comma separated list

Youth (Age 18 and under)**

DOB:

$25 Annual Membership

$50 Annual Youth Membership with Ama/Non Pro

$200 Life Youth Membership (through age 18)

$400 Life Youth Membership with Ama/Non Pro (through age 18)

**Youth membership fee is based on your age at the beginning of the NCHA point year (18 and under). Showing in the Youth class is based on the NYCHA point year, your age on June 1st (18 and under).
Chatter - Special Youth Issue - October Only

If you are paying by check or money order, please print this form and mail it to NCHA

Method of Payment:

Total Due: $

$65 NON COMPETING ANNUAL MEMBERSHIP

INCLUDES CHATTER MAGAZINE IN U.S. & CANADA ONLY

For members that do not show and/or do not have horses that show

Donations

NYCHA (Youth)

PAC*

NCHA Charities Foundation***

*PAC Political Action Committee - this fee is used by NCHA's Texas Events PAC to support activities that will promote legislation in the state of Texas intended to support and enhance the three shows that comprise the Triple Crown of Cutting.

Extras

$55 US First Class Magazine Mailing Fee

$75 International Magazine Mailing Fee

All members must sign

The Undersigned parties, as a condition of membership, agree to become familiar with and be bound by the rules of the National Cutting Horse Association. The undersigned expressly agree to have all disputes related to compliance with or violation of these rules resolved by the procedure provided in these rules. If under 21 years of age, a parent/guardian signature is required. You further understand that by providing your mailing and/or email address(es), you consent to receive mail sent by or on behalf of the NCHA and that you have the requisite authority to give permission to the NCHA on behalf of yourself and your company. By their signature to this application, all youth members and their parents/guardians expressly acknowledge that they have reviewed and become familiar with the NYCHA Code of Conduct published on the NCHA website and agree to abide by and be bound by the terms of that Code.

Signature *Required only if you are sending in this form

Youth Signature *Required only if you are sending in this form

Parent Signature *Required only if you are sending in this form

Dues payments MAY BE deductible as an ordinary and necessary business expense, however, contributions and gifts to the National Cutting Horse Association are not deductible as charitable contributions for federal income tax purposes. Donations to NCHA Charities Foundation, a 501 (c) (3) charitable organization, are deductible to the extent allowed by law. $6 of your annual membership dues is designated for a subscription to the Cutting Horse Chatter, NCHA's Offical Publication.