dallas dressage club august 2000 message from the president

Transitions - August 2000
The Dallas Dressage Club
2000 Membership Application
Renewal of all DDC Memberships is required by January 1st of each year. Included with your DDC membership is a group membership in
the United States Dressage Federation (USDF) and a subscription to the DDC monthly newsletter.
The DDC is a USDF Group Member Organization; and our members are automatically USDF Group Members.
Individual Membership ($30.00) _____ Junior Membership ($20.00) _____ Family Membership ($35.00) _____
New Member _____ Renewal _____ (2000 Junior Members are 17 or younger as of 1/1/00)
Applicant’s Information:
I prefer an electronic newsletter via email: Yes ____ No ____ E-Mail: ________________________________
The DDC may release my address for selected mailings? Yes ____ No ____
Select membership directory category: Full ____ Limited ____ None ____ (Limited = name, city, state only)
Name: Dr./Mr./Mrs./Ms./Miss _______________________________
(circle one)
Address: ___________________________________________
___________________________________________
Phone (Home): _________________________
Phone (Work): _________________________
Phone (Fax): ___________________________
___________________________________________ Phone (Other): _________________________
These items are needed by USDF: Birth Date: ____/____/____
Social Security #: _______________________
Additional Applicants’ Information for Family Membership:
Name: Dr./Mr./Mrs./Ms./Miss _____________________ Birth Date: ___/___/___ Social Security #: _______________
(circle one)
Name: Dr./Mr./Mrs./Ms./Miss _____________________ Birth Date: ___/___/___ Social Security #: _______________
(circle one)
Note: Family Memberships applicants may obtain an USDF Group Membership for each additional applicant for $10.00 each
Can you give a helping hand? (please check all that apply)
Shows/Meets _____ Scribing _____ Newsletter _____ Public Relations _____ Photography _____
Video Taping _____ Phone Committee _____ Other _____ (please list ____________________________)
Please complete the following: (please check all that apply)
Do you show at meets _____, schooling shows _____, and/or recognized competitions _____?
If so, at what levels? ___________________________ How many horses do you own? _____
Additional Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________
I hereby release the Dallas Dressage Club, Inc., its officers, members, employees, and agents from any liability and all claims of every kind (including costs, expenses,
or attorney fees) that might result from damages, injuries or losses to my person or property during, or in connection with, any show, clinic, event or function, whether
or not such damages, injuries, losses result directly from the negligent act of omissions of the officers, members, employees, or agents of the Dallas Dressage Club, Inc.
Signed ___________________________________________________________ Date ____________________
(if under 18, must be signed by parent or legal guardian)
Return application and check made payable to “DDC” to: Kyl Scott, 4250 East Renner Rd #1717, Richardson TX 75082
Questions: Contact Kyl Scott at horseplay@ieee.org, (972)994-9516(H), or (972)479-4128(W)
DDC Office Use Only
Check #: ________ Amount: __________ Date: ______________ Date Rec’d: ______________ ID: _______
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