ANRC Institution/Organization Membership Form
Full Name of School or Organization: *
Team Membership Type: *
Total Membership Fees Due:
Name of Organization's Designated Representative/Head Coach: *
This electronic signature hereby affirms that the Institution or Organization has designated the representative and/or coaches named on this form to act for and on behalf of the Institution or Organization in all matters arising out of its membership in the ANRC. If accepted as a member, the Institution or organization agrees that membership in the ANRC constitutes an agreement and affirmation that each of its riders, coaches, and representatives shall accept and abide by the rules of the ANRC and its Members Shows and that they will accept as final any rulings of the ANRC with respect to their conduct.
Email Address: *
Street Address
City: *
Zip Code:
Contact Phone Number: *
USHJA Member Number: *
Coach #2 Name: (if applicable)
Coach #2 Email Address:
Coach #2 Street Address:
Coach # 2 City:
Coach #2 Zip Code:
USHJA Member Number:
Thank you for completing this form. Please go the ANRC website store to purchase your membership(s).
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