If you or your family wish to become members of the Washington Cutting Horse Association, we must have this form completed with each members name, waiver signed & enclosed with a check. Memberships are due January 1.

Please check one: FAMILY ($42.50)________ SINGLE ($32.50)_______ YOUTH ($17.50)________
Saddle Award Donation: __________________ ($250 or more and we will place a link to your website at wchacutting.com)

NAME(S) _____________________________________________________________________________________________

ADDRESS ____________________________________________________________________________________________

CITY_______________________________________________ STATE____________________ ZIP___________________

PHONE ____________________________________________ E-MAIL ___________________________________________

SOCIAL SECURITY #’S __________________________________________________________________________________

NCHA #’S ______________________________________ NON-PRO: _____YES _____NO (Must be an NCHA member to ride)

Release of Waiver

Acknowledgement of Risk: The undersigned acknowledges that the participation in horse events, either as a contestant, employee or as a volunteer exposes the participant to a substantial and serious risk of property damage, personal injury or death. The undersigned expressly acknowledges that his/her participation in club events will involve such a hazard.

Release of Sponsors: The undersigned hereby releases all sponsors from liability and any and all property damage, personal injuries or other claims arising from the undersigned’s participation in an event, including those known and unknown, unforeseen, future or contingent.

Covenant Not to Sue: The undersigned conveys that the undersigned shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceedings executed and delivered in this Release as of the date signed below against the Washington Cutting Horse Association or their officers, directors, employees, Agents or affiliates concerning, arising out of or related to the actions, caused of actions, claims and demand hereby waived, released or discharged by the undersigned.

Assurances: The undersigned has full power, authority, capacity and right without limitation to execute, deliver and perform this Release.

Binding Effect: This Release shall be binding upon the undersigned and the undersigned’s spouse, legal representative, heirs, successors and assigns.

This Release has been fully and carefully read by the undersigned and the undersigned fully understands its terms and conditions and has voluntarily executed and delivered this Release as of the date signed below.

NOTE: If this is a joint membership, both parties must sign below.

________________________________________________________ _________________________________

Signature 1 (Guardian for minor) Date

________________________________________________________ __________________________________

Signature 2 (Spouse if joint membership) Date

Please send completed Membership Application & Dues to:
Becky Sleeman 33515 40^th Ave. S Roy, Wa 98580