KCRC Membership Form

KCRC Membership Form

This form is for new and renewing members. If you do not get a confirmation email after submitting your application, you will want to reach out to kcrconline@gmail.com to verify it was successfully submitted.
Select Your Membership*

Family Membership - NewIndividual Membership - New (must be 18 to apply for individual membership)
Total

Total Price

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Applicant Name*

First NameMiddle NameLast Name
Applicant Phone Number*
Please enter a valid phone number.
Applicant Email*
example@example.com
Co-Applicant Name*

First NameMiddle NameLast Name
Co-Applicant Phone Number*
Please enter a valid phone number.
Co-Applicant Email*
example@example.com
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PLEASE READ INSTRUCTIONS CAREFULLY. INCOMPLETE/INCORRECT HOLD HARMLESS RELEASE OF LIABILITY WILL RESULT IN A REJECTED APPLICATION. List names, age (at the time of application), birth date of all members and acknowledge the Hold Harmless Release of Liability by typing in full names of adults and parent/guardian for minors. Every space must be filled. Use N/A for any blank spaces.*

	Full Name	Age	Birthdate	Hold Harmless Release of Liability: Typed full name for each adult, and typed name of responsible parent/guardian for each minor
1
2
3
4
5
6

IMPORTANT: Each adult member (18+) must type their full name in the Hold Harmless Release of Liability column, and each youth member (under 18) must have a parent/guardian typed name in the Hold Harmless Release of Liability column. All other fields must be marked "N/A". All typed names on this e-form signify acknowledgement and acceptance of the terms of the KCRC Hold Harmless Agreement.

****WARNING****
Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised Statutes.
For more information: http://www.americanequestrian.com/legal/CO.htm

HOLD HARMLESS AGREEMENT

I HEREBY RELEASE Kit Carson Riding Club, Inc., its Officers, Board of Directors and members from any claim or right for damages which may occur to me, my minor children, or equine family (i.e. horses, mules, donkey, etc.) I also assume and accept full responsibility for any damages done by us or our equine family at any Kit carson Riding Club, Inc. sponsored or supervised activity during this membership year.

I hereby release and hold harmless Kit Carson Riding Club, Inc. from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with images taken at KCRC sponsored events. Futher, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Kit Carson Riding Club, Inc. to use their likenesses and names.

I Further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive financial compensation of any type associated with the taking or publication of any photographs or participation in club marketing
materials or other club publications and forms of communication. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I hereby release Kit Carson Riding Club, Inc., its members, its volunteers and any third parties involved in the creation or publication of club publications, from liability for any claims by me or any party in connection with my participation or the participation of the minor children listed above.

List three reasons for wanting to be a Kit Carson Riding Club member*
Sponsoring Member's/Family's Name*
Sponsoring Member's Phone Number*
Please enter a valid phone number.

Emergency Contacts*

	Name	Relationship	Phone Number
Contact 1
Contact 2

KCRC activities are 100% volunteer-run. Please select three (or more) committees you are willing to volunteer on during the next membership year:*

By-LawsConcessionsEducationGymkhanasHistoryMaintenanceMediaParadesParties and DancesRoyaltyScholarshipScrapbookTrail RidesTrail Versatility Challenge

For membership to the Kit Carson Riding Club, Inc. I/We agree to the following conditions (Each adult member must mark their initials in the appropriate column. All empty fields must be marked with an "N/A".):*

	Applicant Initials	Co-Applicant Initials
I/We understand that the Kit Carson Riding Club, Inc is a private club to be used by and for the members of the Kit Carson Riding Club, Inc.
I/We agree not to abuse the gate privilege by: a. Allowing non-members to use the club grounds outside of club sponsored public activities.
b. Disabling the gate in any way to keep it open

Member Involvement

Tell us about your involvement in the club during the previous membership year! (Required for renewals—If this information is not filled out, your renewal will be returned to you unprocessed. Please write NA if you are applying for the first time.)
Committee Name*
How many times did you volunteer and what were your responsibilities?*
Participation: What activities did you participate in during this last membership year?*

Release of Liability (signature required from each person listed). List names, age (at time of application) and birth date of all members. Every space must be filled. Use N/A for any blank spaces.:*

	Person's Name	Birthdate	Signature (Parents sign for children under 18)
1
2
3
4
5
6

Parent Name
Parent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number
Please enter a valid phone number.
Today's Date*
By-Laws

Code of Conduct
I have read and agree to the KCRC By-Laws and Code of Conduct*

I agree
Signature*

Clear
Should be Empty:

	Husband	Wife
Occupation:
Employed by:

KCRC Membership Form

Member Involvement