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Wayward Horse Foundation

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© 2007 Wayward Horse Foundation. All rights reserved.


 
 

Membership Application

 

Fill out the form, submit it, use electronic donation>>>

or

Print this page, fill it out, mail it along with a check

 

Full Name:
Nick Name:
Occupation(What do you do for a living?):
yrs:
Street Address:
City:
State:
Zip Code:
County:
Telephone:
Other phone:
email:
How did you hear about us:

 

What type of Membership would you like?

Memberships explained here>>>

General ($50 yr):

 

 

 

 

Sponsoring ($20 mo or $240 yr):
GOLD ($40 mo or $480 yr) :
Family ($75 yr):
Organization ($100 yr):

 

Please indicate any other area of interest you would like to participate in and we will send you the appropriate information.

Fostering:

 

 

 

 

Adopting:
Trailering:
Inspections and Investigations:
Other:

Liability Waiver: I have read the membership terms. I, the undersigned, have read and understand the following:

Warning: Under Texas law (Chapter 87 Civil Practices and Remedies Code), an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risk of equine activities.

Confidentiality Statement: I understand that certain information pertaining to WHF may be confidential in nature and that I am to use discretion in discussing equine cases, policies, and other WHF matters with non-WHF members. I also understand that as a member of WHF, it is a privilege to be a party to WHF e-mail lists,blogs,and other forms of communications and educational material, and that I must obtain permission from a WHF officer or director before forwarding any form of communication that I receive from these lists to any person not a member of WHF. I, the below-signed, have read, understood, and agree to adhere to the statement outlined herein, and have read and agree to the membership terms.

In the event of a family or organizational membership, I understand that both statements apply to all family or organization members.

Upon submitting this form electronically and paying membership dues, I accept the terms and conditions stated above just as if my signature had been placed on a written agreement.

(If mailing in, please sign below)

Signature:_________________________ Date:___________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

 
 
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