__________________________B-day_________ __________________________B-day_________
__________________________B-day_________ __________________________B-day_________
Address:________________________________________________________________________
City:____________________________________ Zip:____________________
Phone: (Home)____________________________ (Cell)_____________________________
(Other)____________________ *E-mail: ____________________________________________
* Note: Your e-mail will not be shared or available to anyone. It is only used so you may get updates on
club events and monthly newsletters.
I/my family interests are: (please check all that apply)
____ Gymkhana ____Trail Rides ____ Horse Shows
____ Social Functions ____Clinics
____ Communications ____ Drill Team ____ Parades
Other Interests: ________________
I give my permission to allow the persons named hereinabove to participate in Scottsdale Saddle Club
activities and release the SSC, its officers, agents, assigns, City of Scottsdale, and its agents or
affiliates of any liability for injury or damage incurred to myself, my family, my livestock, or equipment
resulting from any SSC activities.
New member
Renewal
Signature ________________________________________ Date __________________
SSC MEMBERSHIP GUIDELINES - EFFECTIVE JANUARY 1, 2008
To qualify for year end awards, each individual or any family member must meet the requirements:
Gymkhanas: Volunteer a minimum of twelve (12) hours of total service at gymkhanas.
Horse Shows: Volunteer a minimum of four (4) hours, per discipline, total service at
horse shows. Please see rules for complete definition.
Gymkhanas and Horse Shows are mutually exclusive from one another. If you want to qualify in both
disciplines, you must have completed hours at both events. Official rules online.
PARENTAL RELEASE FOR CHILD TO RIDE WITHOUT PARENT PRESENT
I, ______________________________ give permission for my child/children named above to participate in any
SSC activities in my absence for the period of January 1, 2008 through December 31, 2008. If at anytime I
want this reversed, I will notify the SSC in writing.
____________________________________________
___________________________________
Parent/Guardian Signature
Date
