NCHA-Membership · File:916204 Dept:602 · P O Box 961218 · Fort Worth, Texas 76161-9797 · 817/244-6188
AMATEUR/NON-PROFESSIONAL APPLICATION
Name Address
City State/Province Zip-

Phone#-- Membership # Country Foreign Zip

Select the type of application you are applying for:  Amateur-  Non-Professional-
Have you completed a membership application?:
Have you paid the Amateur/Non-Pro Fee? If No?. Payment Type
(Fee must be paid for each applicant before a Non-Pro/Amateur card is issued.)
If you have NOT Paid Fee: Card # Expiration Date: MMYY
If paying by check, please print & mail (along with payment) to the address indicated above, Attn: Membership.

1. What is your occupation?........
2. Do you understand that, you MUST own all legal and equitable interest to any horse you show
    in a cutting horse contest? .....................................................................................................
3. Have you ever been or are you currently employed, in any capacity, on a horse training operation?.

   If you answered "Yes" to question No. 3, then answer subparts (a), (b) and (c) below.

(a) Employed by Whom?
(b) When?
(c) Your duties?

 
4. Have you ever been denied Non-Professional status? .................................................................
5. Have you been a professional horse trainer in any equine discipline ............................................

   If you answered "Yes" to question No. 5, then answer subparts (a), (b) and (c) below.

 (a) Employed by Whom?  

           (b) Date of employment Month Day Year

 
 (c) Lifetime Earnings (Whole Dollars Only).. (Exclude any Non-Pro Earnings)  

Please answer questions 6 through 10 only if you are also applying for Amateur status:

6. Have you ever ridden, trained or assisted in training horses or horse riders for remuneration,
    directly or indirectly? .............................................................................................................

   If you answered "Yes" to question No. 6, then answer subparts (a), (b) and (c) below.

(a) Employed by Whom?
(b) When?
(c) Your duties?
 
7. Are you a child of a horse trainer? ............................................................................................
8. Are you a relative of and living in the same household as a horse trainer? ....................................

9. Are you now or have you ever been married to or had a co-habitation relationship
    with a horse trainer? ..............................................................................................................

10. Have you ever been denied Amateur status? ...........................................................................

I agree to become familiar with and be bound by the rules of the National Cutting Horse Association.  I expressly agree to have all disputes related to compliance with of violation of these rules resolved by the procedures provided in the rules.

I understand that a false declaration will result in suspension of NCHA privileges for a period of a minimum of six (6) months for the first offense. It is the member's responsibility of notify the NCHA office immediately upon any change in his/her Non-Professional/Amateur status. Failure to do so could result in loss of Non-Professional/Amateur status for life.

Electronic Signature: I agree to all of the above: Yes No
If "YES" is not selected then this application will not be accepted for electronic submission.

      
If you are paying the fee with a Credit Card, Clicking the Submit button more than once could result in your Card being charged more than once.

If form is printed and sent to NCHA office, then Signature is Required.

 
Applicant Signature:  ________________________________ Director's Signature: ________________________________
(
Note: Only if this form is presented at Weekend Show)

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