Membership

2025 Membership Form

2025 Membership Form for WSPHC

"*" indicates required fields

Full Name*

First Last

Month & Year of Birth*

Month/Year

APHA Number

NOT REQUIRED FOR WSPHC MEMBERSHIP

Spouse (for family membership)

First Last

Spouse Month & Year of Birth

Month/Year

Email*

CLUB COMMUNICATION IS PRIMARILY SENT VIA EMAIL

Confirm Email*

CLUB COMMUNICATION IS PRIMARILY SENT VIA EMAIL

Do you want your email address printed in the NWCC Directory?*

YES

Complete name(s) of children & birthdays (only minor children living at home)

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Type of Membership*

Family – $25 (includes Father &/or Mother & family youth 18 & under)

Single Adult – $20 (over 18 years)

Youth Only – $20 (18 years & younger, outside a Family membership)

Business or Learning Institution – $25

NEW MEMBER – Youth

NEW MEMBER – Adult

Club Donation (enter any monetary value)

Your generous donations and sponsorships enable us to host our annual Star Spangled Classic horse show, provide our youth members with leadership and other opportunities, and contribute positively to our community.

Youth Sponsorship (enter any monetary value)

Show Sponsorship (enter any monetary value)

Signature (Full Name)*

Today's Date*

Total

Credit Card

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