Membership Application Click here for a printable form of this application. Membership Types & Dues (Expires December 31st) * Adult Membership (18 years & over) - $20.00 Junior Membership (17 years & under) - $15.00 Family Membership (2 Adults & Childern 17 and under) - $30.00 Supporting Membership (Does not show or compete for high point awards) - $15.00 Name * First Last Name #2 First Last Name #3 First Last Name #4 First Last Address Address Line 1 * Address Line 2 City * State * Zip Code * Country * Phone * Email Address Which would you prefer? * E-mail Mail ETSA Members qualify for ASHA Charter Club Affiliate Membership. Are you an ASHA member? * Yes No If you are an ASHA member please provide your member number: If you wish to participate in the High Point Awards Program, horses must be nominated and must meet the qualification criteria. Riders must be nominated and birthday provided for equation and academy. Please refer to the qualification criteria on the nomination form. Points will not be awarded for shows prior to nomination. Any horse purchased during the year must be nominated by e-mail to Anita Miller before points will be awarded. You can qualify for high point by sponsoring classes at ETSA Spring Classic or ETSA Midsummer Classic and can include sponsorship payment with your membership. Corporate - $750.00 Jackpot Stake - $500.00 Champion / Stake - $125.00 Qualifying Class - $50.00 Trophy / Ribbons - $30.00 High Point Award Program First Last ● Both the recorded owner and rider MUST BE current ETSA Members in good standing (this will be enforced) ● The horse must be nominated in order to receive points in performance divisions. ● The rider must be nominated and provide their birthday in order to receive points in academy and equitation divisions. ● Must show in a minimum of three affiliated shows (two affiliated shows for academy). ● Points will be awarded from the date the nomination is paid for and received (postmark will determine date) and points will not be awarded for shows prior to nomination and payment. ● The nominator must help with the ETSA Spring Classic or ETSA Midsummer Classic by serving on the show committee, working at one or both shows, selling sponsorships, or sponsoring classes, ribbons, etc. ● Any horse purchased during the year must be nominated by form or email to Anita Miller for points to be awarded. I understand the qualifications listed above and wish to nominate the following horse(s) and or rider(s) to the ETSA High Point Awards Program. 1 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last Rider's date of birth (for academy or equitation) What division do you plan to show in? 2 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last Rider's date of birth (for academy or equitation) What division do you plan to show in? 3 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last What division do you plan to show in? Rider's date of birth (for academy or equitation) 4 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last Rider's date of birth (for academy or equitation) What division do you plan to show in? 5 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last Rider's date of birth (for academy or equitation) What division do you plan to show in? 6 - Horse - registered name (not academy or equitation) Rider (required for academy or equitation) First Last Rider's date of birth (for academy or equitation) What division do you plan to show in? Total Dues: $ 0 Please make checks payable to ETSA Mail checks to: Anita Miller - Membership / Highpoint Secretary 700 Clear Springs Rd. Limestone, TN 37681 (423)-823-1740 I understand that payment must be mailed within 24 hours of filling out this form. I understand that I will not be awarded points until payment is received.