WCRA Membership Form 2019
Please complete required sections below Although this page is encrypted, the information you enter is being sent over an unencrypted connection and could be easily read by a third party. Security of this information cannot be guaranteed by WCRA.
Name *
Please include First and Last Name
Your answer
Phone Number *
include home and cell number if applicable
Your answer
Address *
please include complete mailing address including postal code
Your answer
Email address
please include your email below
Your answer
Horse Council BC # *
*All WCRA members must be members of Horse Council of BC (Alberta members – Alberta Equestrian Federation or HCBC)
Your answer
NRHA Number
Membership is NOT a requirement to be a WCRA member, but if you want to compete in NRHA classes at WCRA shows, NRHA membership IS required
Your answer
Youth Birthday (<19 as of January 1, 2019):
In order for youth to compete in youth classes, age verification is required
Your answer
Parent/Guardian verification for youth. I (the undersigned) can verify to the age of the youth, and if requested can produce documentation to that effect
Please insert parent/guardian name
Your answer
Membership numbers and information will be emailed upon receipt of payment. If you do not have email, would you prefer to be contacted by telephone for membership numbers and information?
please check yes or no below
Fees: Payment of a WCRA membership includes optional membership in one local chapter (select one in the section below if applicable). Individual chapters will be reimbursed a portion of membership fees. Please check the WCRA website for contact details and information on each chapter. *
Please check appropriate box below:
Family Membership
Please complete this section if you are applying for a family membership. Family membership includes 2 adults and kids. Please name all and include HCBC #’s
Your answer
Please indicate total amount of membership fees
Your answer
WCRA 2019 Chapters (Please indicate if your are a member of one of the listed Chapters-)
check the applicable chapter below
To pay by Credit Card
Please check Visa or Master Card
Credit Card Details
please include the following information: Name on Card, Card# (don't include spaces), Expiry Date (M/Y), and CCV number (last 3 digits on back of card)
Your answer
Alternatively, cheques may be mailed to WCRA Memberships C/O Amber Nustad 1582 Eagleview Rd, Williams Lake, BC V2G 4W1
Please include Cheque # below. Membership questions? or if you prefer to pay by phone: 250-392-6402 Email: wcrareining@gmail.com
Your answer
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