Membership Form

TSSC Membership Form 2025

Primary Adult Member Name, 18 years and older. Ages are as of January 1, 2025(Required)

First Last

Primary Email(Required)

Primary Phone(Required)

Do you want to add any other adults to this membership?(Required)

Additional Adult Member - 1(Required)

First Last

Phone

Additional Adult Member - 2(Required)

First Last

Phone

Additional Adult Member - 3(Required)

First Last

Phone

Additional Adult Member - 4(Required)

First Last

Phone

Do you want to add any youth, 17 years and under to this membership? Ages are as of January 1, 2025(Required)

Youth Member 1, 17 Years & Under(Required)

First Last

Youth Member 2, 17 Years & Under(Required)

First Last

Youth Member 3, 17 Years & Under(Required)

First Last

Youth Member 4, 17 Years & Under(Required)

First Last

Youth Member 5, 17 Years & Under(Required)

First Last

Youth Member 6, 17 Years & Under(Required)

First Last

Youth Member 7, 17 Years & Under(Required)

First Last

Youth Member 8, 17 Years & Under(Required)

First Last

EMERGENCY CONTACT INFORMATION

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

CHECK OUT

Total Adult Memberships(Required)

How many total adult memberships are you registering today for the 2025 year?

Total Youth Memberships(Required)

How many total Youth memberships are you registering today for the 2025 year?

Total Membership Dues

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

TRI STATE SADDLE CLUB

TRI STATE SADDLE CLUB

Membership Form

TSSC Membership Form 2025

EMERGENCY CONTACT INFORMATION

CHECK OUT