Member Name: ________________________________________________________________
Other Member Names (for family): _________________________________________________
Street Address: _________________________________________________________________
City, Province & Postal Code: _____________________________________________________
Email Address: _________________________________________________________________
Home Phone: __________________________________________________________________
Annual Adult $20
Annual Youth $10 (17 & under as of Dec 1st of previous year)
Annual Family $40 (Includes 2 Adults + unlimited youth)
The Ontario Small Equine Show Association (OSESA), its executive, volunteers, and owners and staff of any chosen venue will not be responsible for any accident, or damages that may occur, or be caused by, any owner/exhibitor or their equine/animals while on event property, nor will they be responsible for any article lost or destroyed while on such property. Each owner/exhibitor shall be responsible for the equines under their custody or control and shall indemnify and hold harmless the OSESA and aforesaid staff and venue against all claims and expense of every kind arising from accident, injury or damages caused by themselves or their equine/animals.
Submission of this agreement form shall be deemed acceptance of the above and failure to submit this form will disqualify you, or those under this membership, from participation in any club event. In the case of on-line submission your participation in any event post submission of this form signifies your acceptance of this agreement with or without a signature.
Signature: ____________________________________ Date: ___________________
Parents Signature (for youth members): _____________________________________
Please mail your membership application along with your cheque or money order in Canadian funds to:
Marie Krawczyk Box 387 Schomberg, ON L0G1T0
OR Email to:
email@example.com and send an EMT to the same email.