Please copy and paste and mail to address supplied below:

New ___ Renewal____ Membership Year ____ (Runs Jan 1 to Dec 31)

Name_______________________________ Spouse’s Name__________________

Farm Name_________________________

Address____________________________City_____________Zip_____________

Phone Number (_____) ___________ E-Mail ______________________________

Membership Type: ___ Individual $15 per year

___ Family $20 per year (includes children under 18 years old)

Memberships paid prior to March 15^{th will receive a free subscription to Equine Times. Please indicated if you wish to receive a subscription.}

___Yes ___No

Please make checks payable to: Sleepy Hollow Trail Riders Association

9322 Alward Road

Laingsburg, MI 48848

As a member, I would like to be involved in the following activities:

___Trail Rides Host/Hostess ___Annual Meeting/Picnic

___Newsletters ___Expos

___Workbees/Trail Projects ___Serve on Board/Committee

I would like my name and phone number include on a Buddy Ride List: ___Yes ___No

How many family members ride?______ How many horses do you own?______

I hereby release Sleepy Hollow Trail Riders Association of any and all liabilities for personal loss/injury, and/or property loss/damage of any kind. I understand that equine activities are risky by their nature and agree to undertake full  responsibilityfor said risk on my own behalf, as well as on behalf of my minor child/children, legal ward, heirs, representatives and assigns.

____________________________ _________________________________

Signature Date Signature Date