Print this form and mail with appropriate fees to

Print this form and mail with appropriate fees to:

CRSHA - Membership , P.O. Box 67, Springfield, MO 65801-0067.

NOTE: Membership must be carried in the name of the owner of the horse as well as the exhibitor, If not the same household, for points to count towards year-end awards. Points do not accumulate until membership is paid. Membership must be paid to be a voting member at all meetings.

CROSS ROADS STOCK HORSE ASSOCIATION MEMBERSHIP FORM

NAME

Mailing Address

CITY STATE ZIP

E-MAIL ADDRESS

HOME PHONE BARN PHONE

CHILDREN'S NAMES ( IF last name is different, please specify )

Select Membership Type below - send payment with form to: CRSHA - Janice Lee , P.O. Box 67, Springfield, MO 65801-0067.

$20.00 Individual - (Individual 19 and over)

$20.00 Family - (husband, wife & dependents under 18)

$10.00 Youth - (18 and under only)

WARNING: Under Missouri law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities pursuant to the Revised Statutes of Missouri.

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