MEMBERSHIP APPLICATION

Bad Girls Trail Riding Club

Do you have any allergies or any other pertinent info you think we should know?

Date of E-Signature *

Electronic Signature (Type your name in box) *

Facebook Name (This is needed to add you to our Members Only page on Facebook)

Emergency Contact Name *

Email: *

Is this a NEW Membership or a Renewal? *

New

Renewal

Emergency Contact Phone Number *

City, State, and ZIP Code *

BGTRC Membership Application

Please click the green SUBMIT button to send your application, then click the Pay with PayPal button to remit your payment. If you do not see your application above disappear after clicking submit, your computer's pop-up blocker may be preventing your application from being submitted. Please turn off your pop-up blocker and click the submit button again. Once your membership form has been submitted, please remit your payment via PayPal.

Address *

Name: *

Date of Birth *

Are You on Facebook? *

YES

Electronic Newsletter? *

YES

NO ($10 mailing fee)

$21.25 for Emailed Newsletter

$31.50 for Post Mailed Newsletter

Membership dues are $20 per year (If paying with PayPal, please add $1.25 for the service fees that BGTRC is charged by PayPal.) For a post mailed newsletter, please add an additional $10 for the costs of postage and printing. Once you have submitted this form, please submit appropriate payment via PayPal by clicking the blue "Pay with PayPal" button below. You should see our horse and rider logo, the words "Bad Girls Trail Riding", and the link paypal.me/BGTRC after you click the link. You may also print out the application and mail it with the appropriate fees ($20.00 for e-mailed newsletter, $30 for post mailed newsletter if sending this form and dues by mail) to:

BGTRC c/o Judy Jones 6111 S 204th ST W. Boynton, OK 74422

Pay with PayPal

Phone *

Release of Liability:

Bad Girls Trail Riding Club is released from any liability due to accidents, death, illness, injury, to member(s), guest(s) of member(s) or horses. Member authorizes Bad Girls Trail Riding Club to call for medical services/veterinarian services in case of emergency and if unable to reach emergency contact listed without incurring financial liability. By typing your name in The Electronic Signature box on this form, you confirm that you agree to these terms and that your E-Signature is the same as your hand-written signature.

Confidentiality Clause:

Members will not, without the express permission of the Board of Directors and Founders:

*Disclose membership information

*Represent BGTRC in outside business

*Use information concerning members for their own personal use/benefit

Blatant disregard of the BGTRC Confidentiality Clause is cause for termination/denial of membership with BGTRC