The Pioneer Posse Online Membership Signup

Online Membership Form


Please remember that memberships are Annual from January 1st to December 31st of each year.
Memberships must be renewed in January of each year.

To Submit Your Membership Form Online You Will Need A We Accept PayPal! Account.

Personal Information
 
Name:
DOB:
Address:
City:
Sate:
Zip:
Phone:
Cell Phone:
Email:
    
 

Membership Type

Family Membership Single Membership
 

Family Membership Information
 
Spouse's Name:
DOB:
 

Please list the Name, Age, and DOB for each child in the household.
Must be under the age of 18 to qualify on a family membership.
           
Child 1 Name:
DOB:
Age:
Child 2 Name:
DOB:
Age
Child 3 Name:
DOB:
Age
Child 4 Name:
DOB:
Age
Child 5 Name:
DOB:
Age
 
Comments:
 
 

Liability Release: I/We the parent(s) and/or legal guardians of the children named above, hereby give our consent to all listed applicant's participation in all club events, and others activities. I/We do hereby release The Pioneer Posse officers and other members of damages that may occur to myself, my/our children, horses, and/or property while involved in club activities, on club property, and/or at club sponsored events. I acknowledge by submitting this online application that I will not hold the Pioneer Posse and it's board members responsible for any accidents during any Pioneer Posse events or while on Pioneer Posse property.
 
I have read and agree to the terms in the Liability Release above.
 
By submitting this form I agree to all it's terms. After submitting this form you will be redirected to the membership payment page. Please select the membership type (Family $35.00 or Individual $25.00) that you are applying for and complete the membership application by paying for your membership with PayPal.

 

Are you willing to help on a committee, arena crew, etc...? Yes No

There is a $2.00 internet transaction fee added to all online memberships.



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