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 members’ 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.
X___________________________________
X______________________________________
X
___________________________________
X ______________________________________