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FCEA Membership Form
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* Required
Name
*
Your answer
DOB (required for JR and Masters)
MM
/
DD
/
YYYY
Age Group
*
Junior
Adult-Open
Adult Amateur
Masters (over 50)-Open
Masters (over 50) Amateur
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
USDF#
Your answer
Home Phone
Your answer
Cell/Work Phone
Your answer
Email Address
*
Your answer
Trainer/Instructor
Your answer
Addt'l Family Member Name
Your answer
Addt'l Family Member DOB (required for JR and Masters)
MM
/
DD
/
YYYY
Addt'l Family Member USDF#
Your answer
Addt'l Family Member Age Group
Junior
Adult-Open
Adult Amateur
Masters (over 50)-Open
Masters (over 50) Amateur
Clear selection
To be eligible for year end awards members must complete volunteer requirements. If you have a preference, what volunteer activity would you prefer?
Your answer
What are your interests
*
Dressage
Eventing
Education
Jumping
BRC Activities
Competitive Trail Riding
Everything Horse
Western Dressage
Required
Would you like to be listed on the Member Services Directory of the FCEA Website? Please list services(s) provided (ie:Boarding, Instruction, Braiding, Trailering, Farriers, etc.), website, and if different from above contact information.
Your answer
Would you allow FCEA to give your email address to approved Sponsors?
*
Yes
No
How would you like to receive club news?
*
E-Mail
Snail Mail-USPS
Both
Membership Type
*
*Jump Start Membership may join starting 9/1 and benefits continue thru the following year. Allows late joining new members to get a jump start on membership benefits. **Education Sponsors are not considered members of the club, but are allowed to participate in unmounted activities. They must pay non-member fees for FCEA shows and clinics.
Individual Primary Membership $45/Jan-Dec
Secondary Family Member $35/Jan-Dec
Education Sponsor Only $35 Jan-Dec**
Jump Start Membership 9/1-12/31/+1 $70/16 month*
Jump Start Secondary Membership $50/16 month*
Required
How are you sending payment?
*
Checks payable to FCEA, Mail to: Louise Jordan-Beam 85 Williams Rd, Douglassville, PA 19518
Mailing Check
Paypal; Send payment to email
vpresident@frenchcreekdressage.org
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