Individual Membership & Rider Placement Form2019-01-22T15:26:22-07:00

INDIVIDUAL MEMBERSHIP AND RIDER PLACEMENT FORM

  • OFFICIAL APPLICATION FORM

    All completed transactions will be processed in the order in which they are received. Please allow 15 business days for processing.

    All applications will be reviewed by USTPC and all USTPC decisions are FINAL.
  • PARENTS (ONLY COMPLETE IF RIDER IS A MINOR)

  • USTPC RIDER PLACEMENT FORM

  • I, (as the individual or the parent/guardian of the above named child if a minor) as a member of the United States Team Pattern Championships, hereby give my approval to participate in any and all USTPC activities. I acknowledge and certify that before signing this document, I have carefully read, signed, and agree with the contents of the USTPC Release and Waiver of Liability Form. I know that participation in any equestrian activity may have inherent risk and result in serious injuries. I hereby waive, release, absolve, indemnify, and agree to hold harmless the United States Team Pattern Championships, the organizers, sponsors, supervisors, and participants. The below signed persons fully and unconditionally agree to assume all inherent risks and intrinsic dangers associated with USTPC events.
  • Membership Fee of $50 due by January 15, 2019. Please mail checks or money order payable to USTPC.

    c/o Holly Hover
    29455 N. Cave Creek Rd. Ste 118-122
    Cave Creek, AZ 85331
  • This field is for validation purposes and should be left unchanged.