Become a Member Below!
 

SANTA YNEZ VALLEY RIDERS

PO Box 72, Santa Ynez, CA 93460

Revised July 2021

MEMBERSHIP APPLICATION/DONATION FORM
(Mark Where Appropriate)

To be usedonly for SYVR activities/news- Personal information will not be given out

TYPE OF MEMBERSHIP:

Memberships are renewed annually in January
Please Select One
*Memberships received after July 1st of the calendar year are reduced by ½ (i.e. A Family Membership would be $25 after July 1)

I WISH TO MAKE A DONATION

Please use my donation in the amount of
       to help the SYVR advocate for equestrian trails and to support local actions to 
keep trail riding and other equestrian recreational activities safe & open to horses.
For Member Applicants: The officers and board members of SYVR are dedicated to providing safe and enjoyable rides and activities for all members. We appreciate your cooperation in carefully considering the following questions. Please include any information about both horse and rider(s) that will be helpful in providing asafe and healthy atmosphere for everyone. Please provide the following information:
I have attended a club meeting:
I am a non-rider, but still wish to participate:
I have had                   months or                     years of trail riding experience (enter number).
Name and ages of minor children and their riding experience:
Please explain any potential problems that the trail boss should be aware of (e.g.water crossings, kicking, nervous in group, group riding is new to you or horse, etc.):

Please select the appropriate response:

I will be riding a green horse:
My horse trailers and loads easily:
I have access to a trailer and would be willing to trailer someone else:

I do NOT have a trailer, but would share expenses if someone has space:

Please select the SYVR committees in which you would like to participate:

I have read the "Safety and Courtesy Rules of Trail Riding'' and have agreed to abide by them.

Trail Committee

SEE BELOW FOR THE HOLD HARMLESS AGREEMENTS. PLEASE READ AND SIGN.

FOR ALL MINORS, THE FOLLOWING LIABILITY MUST BE SIGNED BY THE PARENT(S) OR LEGAL GUARDIAN(S).

We, the undersigned parents/guardians of
for and in consideration of our child's participation at 

SANTA YNEZ VALLEY RIDERS activities state that we have read the waiver, release and hold harmless written above and we expressly agree that the terms and conditions of said waiver, release and hold harmless shall apply to and be binding upon us and our minor child insofar as it pertains to his or her participation, and to any injury or damage said minor child or his or her horse may sustain or cause as a result of said participation. We further warrant we have health and accident insurance on said minor.

We further understand that an ASTM/SEI approved helmet will be worn by said minor child or children while participating in all riding activities.

I declare under penalty of perjury that the foregoing is true and correct. I do acknowledge that I have read the foregoing paragraphs and know and understand the content hereof.

Executed this day of
, 20
at (City)
(County)
State of California.
Mother (Print Name)                      Father (Print Name)                          Guardian (Print Name)                                     Phone

Thanks for submitting!