Membership Form

Is this a Youth or Adult Membership?(Required)

Youth Membership is $5/yr and defined as a person age 17 years and younger. A Youth Membership MUST be under a current paid adult membership within the same family. Adult Membership is $15/yr and is defined as a person age 18 years and older.

Member Name(Required)

First Last

If this is a Youth Membership, who is the corresponding Adult Membership.

First Last

Youth membership requires a corresponding adult membership for the year. The adult member will also need to fill out separate membership form.

Primary Email(Required)

Primary Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

How will you be paying for your membership?

PayPal via Friends & Family to Karen Schilling (Kschilling6419) with a note indicating the names of who payment is for.

Please be sure to play Friends & Family if you are paying electronically so that we don't pay the additional fees on a personal account. We are offering electronic payment as a convenience but in order to do so, we need to use a personal account. Again, please pay via FRIENDS & FAMILY - not as a service or business.

Paying by Check?

Checks can be made out to TSSC and sent to:
Tri-State Saddle Club
c/o Katie Kotz
14858 Old Hwy Rd
Dubuque, IA 52002

TRI STATE SADDLE CLUB

TRI STATE SADDLE CLUB

Membership Form