A Family Unit consists of Parents or Guardians and children who are under 18 as of December 1, 2007.

You can use this form to join CHJA and record horses and pay through PayPal. You do not have to have a PayPal account.

Your membership information will be emailed to Carole Kenney. All horse recordings and memberships will be effective as of the PayPal payment date.

All required fields are marked with a *.

*First Name: *Last Name: *Street Address: *City: *State: AL AZ AR CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY *Zip Code: Home Phone: Work Phone: Cell Phone: *Birthdate: Are you an Adult Amateur: Yes No Are you a Professional? Yes No Do you want to be listed in the CHJA Roster? Yes No Do you have internet access? Yes No Email: Do you want to receive the CHJA newsletter via mail? Yes No Do you want to read the newsletter with your computer? No mail deliveries of newsletter Yes Family Members: Name: Age as of 12/1: Birthdate: Name: Age as of 12/1: Birthdate: Name: Age as of 12/1: Birthdate: Name: Age as of 12/1: Birthdate: Name: Age as of 12/1: Birthdate: Name: Age as of 12/1: Birthdate: BY CHECKING THIS BOX, I HEREBY AGREE TO ABIDE BY CHJA’S BYLAWS, RULES & SPECIFICATIONS. Are you and Adult Amateur? If so, you must read the text below and check the amateur certification box. No adult amateur memberships will be processed without this box being checked CHJA Amateur Certification As an amateur exhibitor, I understand that any adult who is advertised as a trainer or instructor for horse show purposes; or who regularly acts as a trainer, assistant trainer, and/or instructor for horse show purposes; or who otherwise conducts himself/herself as a professional for horse show purposes; whether or not he/she receives remuneration; is ineligible to ride in any CHJA Group 2 or Group 3 classes which are limited to amateur or beginner riders and is ineligible to ride in any CHJA Medals. An individual who is in possession of a USEF Amateur Card rides under the respective National Federation rules at all CHJA approved shows. I further understand that if I am found to be in violation of my CHJA amateur eligibility, I am subject to the sanctions listed in Rule 5.3 of the CHJA Rules. By checking this box, I am certifying that I am an Amateur and I have read the CHJA Amateur Certification above. CHJA Horse Recording Application At least ONE OWNER of the horse must be a CHJA MEMBER & the horse must be recorded for points to count. An official lease shall beconstrued as legal ownership except for classes restricted to A/O’s. A signed copy of the LEASE and recording fees MUST BE REGISTERED with the membership chairman before any points count. $20 PER YEAR OR $50 FOR LIFE 1.Owner's Name: Horse Name: Age: Sex: G M S Color: Dark Bay Bay Black chestnut Grey Appaloosa Palamino Paint Height: 2. Owner's Name: Horse Name: Age: Sex: G M S Color: Dark Bay Bay Black chestnut Grey Appaloosa Palamino Paint Height: 3. Owner's Name: Horse Name: Age: Sex: G M S Color: Dark Bay Bay Black chestnut Grey Appaloosa Palamino Paint Height: 4. Owner's Name: Horse Name: Age: Sex: G M S Color: Dark Bay Bay Black chestnut Grey Appaloosa Palamino Paint Height: 5. Owner's Name: Horse Name: Age: Sex: G M S Color: Dark Bay Bay Black chestnut Grey Appaloosa Palamino Paint Height: