Post Office Box 271, Aiken, South Carolina 29802

                                                   2008-2009 Membership/Application

                                   PLEASE PRINT CLEARLY

Name:    Last  _________________________ First _____________________ Spouse__________________

Children's Names:           ____________________________________________________________

Farm /Business: ____________________________________________________________

Mailing Address:             Street_______________________________________________________

                                            City _________________   State ___________________ Zip ___________

Phone:                                Home _______________________ Cell ___________________________

Email address:                  ____________________________________________________________

Field of Interest:               ____________________________________________________________

Referred By:                    _____________________________________________________________

              ____ Change of Information    ____ New Member    ____ Continuing Member

               ____ Individual  ($35.00)        ____ Family    ($50.00)

               ____ Out of Town  ($20.00)  Not applicable to residents of the CSRA

Note:  Dues must be paid no later than October 31st to remain on the roster.

                                         South Carolina Equine Liability Law

Under South Carolina law, an equine activity sponsor or professional is not liable for an injury

or death of a participant in an activity resulting from an inherent risk of equine activity.

Pursuant to Article 7, Chapter 9 of Title 47, Code of laws of South Carolina, 1976.*