NCHA Membership Application

MAIL TO: NCHA MEMBERSHIP FILE 916204 | DEPT. 602 | P.O. BOX 961218 | FORT WORTH, TEXAS 76161-9797

Phone: 817-244-6188 | FAX: 817-244-2015 | nchacutting.com

New **** or Renew *Required

Membership # *Required if renewing

Year

Individual Or Business *Required

First Or Business Name *Required

Middle Name

Last Name *Required if individual

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

Are you signing up at an event? If yes, what event and where?

Address *Required

Address 2

City *Required

State/Province *Required

Country *Required

Zip/Postal Code *Required

Phone Number

Cell

Date of birth

Circuit Designation is determined by the address indicated on this form unless otherwise stated here. Circuit Designation for 2021 Point Year (Circuit Designation is not retroactive). You must also send a list of horses and riders to lsmith@nchacutting.comlsmith@nchacutting.com.. If you purchase a horse during the year that needs to be designated, don't forget to notify lsmith@nchacutting.comlsmith@nchacutting.com.

Are you a member of any of these other great organizations/associations? (Please check all that apply):

FFA

NHSRA

AQHA

NRCHA

ACHA

APHA

Other (list all separated by a comma (,) - 100 characters limit)

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

$65 NON COMPETING ANNUAL MEMBERSHIP

INCLUDES CHATTER MAGAZINE IN U.S. & CANADA ONLY

Only for members that Do Not Show and 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.

Mailing Options

$55 US First Class Magazine Mailing Fee

$75 International Magazine Mailing Fee

All Members Must Sign: By renewal of membership dues or by 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.