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Central Jersey Trail Riders Association
2000 Membership Application

 

                                                                                                      Date _______________________ 

Name__________________________________________________________________________________
                          Last name                                                First name ( s )

Street Address_________________________________________________________________________

City ______________________________ State ____________________ Zip Code___________________

 

Memberships run from Jan. 1, 2000 to Dec. 31, 2000

_______ Single Membership $ 20.00

_______ Family Membership $ 30.00  (all family members must be at least 18 years old to be listed as a member)

_______ Paid by check                                 _________ Paid by cash Do Not Mail Cash

_______ New membership                             _________ Renewal membership

Application for new memberships received after July 1st will be charged as follows:

_______ Single Membership $ 10.00

_______ Family Membership $ 15.00

MAKE ALL CHECKS PAYABLE TO  -  C. J. T. R. A.

Mail application and dues to:
Fran Harding
P. O. Box 425
New Gretna, N.J.  08224
FLATWALKII@AOL.COM

Any membership not renewed on or before the March meeting will be dropped from the membership list and will cease to receive the newsletter. 

My CB call name is: _______________________My E-Mail Address is____________________________

 

Hold Harmless Agreement

Must be signed at the time of application for membership by all membersí 18 years of age and over.  In accepting my membership, I hereby release the sponsor, Central Jersey Trail Riders Association, their officers, members, and co-sponsors at all horse activities from any claim or right for damages which may occur to my horse or me.  I also assume and accept full responsibility for any damages done by me or my horse at any horse activity.

WARNING:  UNDER NEW JERSEY LAW, AN EQUESTRIAN AREA OPERATOR IS NOT LIABLE FOR AND INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ANIMAL ACTIVITIES, PURSANT TO PL 1997 C. 287, NO. 282 C:5:15-1 ET. SEQ.  A PARTICIPANT SHALL SUBMIT A WRITTEN REPORT TO THE OPERATOR SETTING FORTH THE DETAILS OF ANY INCIDENT AS SOON AS POSSIBLE, BUT IN NO EVENT LONGER THAN 180 DAYS FROM THE TIME OF THE ACCIDENT OR INCIDENT.

 

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X ___________________________________                 X ______________________________________

 

Home Phone (          ) ___________________              Work Phone (         )________________________

                                                   

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