Islip Horsemen's Assoc., Inc. MEMBERSHIP FORM
Please  send payment through PAYPAL to IslipHorsemensAssoc@gmail.com in order to complete your membership.
MEMBERSHIP IS ELECTRONIC ONLY. Please make sure your email is correct in order to receive your card. 
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Last Name *
First Name *
NAME of FAMILY MEMBERS (for family memberships only). Please write N/A if not applicable. *
EMAIL *Please make sure this is correct in order to receive your membership card. *
STREET ADDRESS *
CITY *
STATE *
ZIP CODE *
PHONE NUMBER *
MEMBERSHIP TYPE *
Required
INTEREST(S)- Please select all that apply *
Required
DATE OF BIRTH FOR ANYONE UNDER 18 YEARS OLD. Please include name. Write N/A if not applicable. *
MEMBERSHIP STATUS *
Required

IHA Release for horse shows/events:

By accepting my entry, I hereby release the IHA, Suffolk County, the Horse Show Committee or any other agents for any injury or loss suffered during or in combination with the horse show. Any photograph taken at an IHA sponsored event can be used for publication purposes. I acknowledge that I have read the By-Laws of IHA and agree to adhere and abide by these by-laws. I agree that membership fee is non refundable.

*PLEASE TYPE FULL NAME* Parent/Guardian signature if member is under the age of 18 years old. 

 *
By completely this form I acknowledge that payment for membership is to be sent through PayPal to IslipHorsemensAssoc@gmail.com in order for the membership to be complete.  Membership expires Dec 31st.https://paypal.me/IHAMembership?locale.x=en_US  *
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