Wisconsin Dressage & Combined Training Association - A USDF Charter GMO

INSTRUCTIONS

This form is for an INDIVIDUAL or FAMILY MEMBERSHIP and uses PayPal as the only method of payment.

If you do not want to complete your membership registration using PayPal, please download and complete the hardcopy form and mail it with your check. Please do not complete this form without going through the PayPal process. Forms received without payment will not be considered complete and valid, and are discarded by our server.

Once Paypal has processed your payment you will receive an email confirming your membership has been received. If you do not receive this email the process was not completed.

If you want to join as a BUSINESS MEMBER, please go to our Business Membership Form

The asterik (*) denotes a required field.

If you have questions about Membership, please contact our Membership Recorder

For problems with this form please contact the WDCTA Webmaster. Please allow 2-3 days for a response.

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Is this a new membership or a renewal?(*)

New MembershipRenewing Membership

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How did you hear about WDCTA?(*)

Member or Other Referral

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If you were referred here by a WDCTA member, please share with us who referred you. If you found us another way, such as a clinic, horse show, or special event, please tell us how here.

First Name(*)

Please let us know your name.

Middle Initial

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USDF is asking us to provide middle initials

Last Name(*)

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Rider Status (*Ages as of January 1st)(*)

Professional

Adult Amateur

Young Rider (*age 18-21)

Junior Rider (*age 17 or less)

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Chapter Affiliation(*)

Southwest (SW Wisconsin, Madison and surrounding area)

Upper Peninsula (Upper Michigan and northern WI)

Central (Portage, Green Bay, Stevens Point, and central area)

Kettle Moraine (Milwaukee, Sheboygan, FDL and southeast WI)

General Member (No Chapter affiliation)

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Please choose your chapter affiliation.

Address(*)

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Address 2

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City(*)

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State(*)

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Zip(*)

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Phone(*)

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Email(*)

Please let us know your email address.

Farm or Business Name

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For a Business Membership, please visit our Business Membership Form. This is NOT a business membership.

Would you like to receive other horse-related mailings that are not affiliated with WDCTA?(*)

YesNo

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Disciplines(*)

Dressage

Eventing

Breeding

Other

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Please check all disciplines that apply.

Standard of Conduct(*)

I agree

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Standard of Conduct for General Membership:
As a member of the Wisconsin Dressage and Combined Training Association (WDCTA) I agree to abide by the WDCTA Standard of Conduct: to act honestly, fairly, ethically and with integrity and treat all WDCTA members with respect and courtesy.

Volunteer Status(*)

I agree

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As a member of WDCTA, I may choose to volunteer for Association responsibilities or activities. I expressly agree that my services are being provided as a volunteer and that I am not an employee of the Wisconsin Dressage & Combined Training Association. I am neither entitled to nor expect any present or future salary, wages, or other benefits for these volunteer services.

Please choose your membership type (If you are looking for a Business Membership, this is the WRONG form):

Individual Membership

Individual - 52.00 USD

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(Age 18 & over). Includes one USDF group membership; emailed newsletter; one voting privilege. Cannot add additional family members.

Family Membership

Family - 64.00 USD Invalid Input

Includes one USDF group membership ; emailed newsletter; one voting privilege. USDF requires that an additional USDF membership be purchased for each additional family member. Add $10 for each additional family member. Please fill out the fields below if you would like to add additional family members to your family membership.

First Additional Family Member

First Additional Family Member (Must first choose family membership option. Cannot be used with an individual membership.) - 10.00 USD Invalid Input

First Additional Family Member Name

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For Family Memberships Only. You must choose and pay the additional member of $10 per additional member. Names received without payment will be ignored.

First Additional Family Member Birthdate, if Under 21

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Second Additional Family Member

Second Additional Family Member - 10.00 USD Invalid Input

Second Additional Family Member Name

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For Family Memberships Only. You must choose and pay the additional member of $10 per additional member. Names received without payment will be ignored.

Second Additional Family Member Birthdate, if Under 21

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Junior Membership

Junior - 39.00 USD Invalid Input

(must be age 17 or less as of January 1st). Do not use in conjunction with a Family Membership. Includes one USDF group membership; emailed newsletter; one voting privilege. Please give your birthdate if you are applying for a Junior membership. As per the WDCTA Bylaws a: JUNIOR - Composed of persons seventeen (17) years of age and under as of January 1st of the current year.

Junior Membership Birthdate

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June Membership

June Membership - 42.00 USD Invalid Input

For NEW (not a member in the previous year) members only, joining after June 1st. Includes USDF group membership if rec’d by Aug 15.

STOP! If you do not want to complete your membership registration using PayPal, please download and complete the hardcopy Membership form and mail it with your check.

If you have chosen a family membership level and want to include an additional family member you must chose the $10 additional family member paypal option for each added member.

Please do NOT complete this form without going through the PayPal process. Your submission will be lost! You should have a total dollar amount below, and there will be a send button. Make sure you have completed all Required (*) items in the form or the form will not work. Once you hit the SEND button, you will be transferred to Paypal.

Total Fees Due:

0.00 USD

Click the box to prove you are not a spam Robot(*)

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WDCTA Individual & Family Membership Form

INSTRUCTIONS

Please choose your membership type (If you are looking for a Business Membership, this is the WRONG form):

Total Fees Due: