ILRHA Membership Application REV 2025
Important: All memberships are based on calendar year and expire Dec 31
Please fill out the form accurately and completely. All names must be listed exactly as they appear on your ARHA membership card. Family membership includes spouses and / or all dependent children. Each family member applying for membership must be listed if purchasing family membership. Each applicant MUST sign. All minor children under the age of 18 MUST have a parent or guardian signature. Use only one form per membership type. For family membership with more than three children, additional children must be listed on a separate membership form.
By signing you agree to abide by the rules of the American Ranch Horse Association and the Illinois Ranch Horse Association.
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Membership Type
*
Individual $30
Family $50
Youth $15
Returning or New Member? If returning, select your name
*
If New Member, enter your name here
First Name
Last Name
ARHA # (If Applicable)
If youth, enter Age
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Month
-
Day
Year
Date
Initial here to electronically sign (If youth, parent/guardian initials)
*
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Enter Email if you would like to opt into ILRHA's email listing to stay up-to-date on the happenings with ILRHA throughout the year.
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Returning Spouse
New Member Spouse Name
First Name
Last Name
Initial here to electronically sign
Child 1
New Child Name
First Name
Last Name
Enter Age
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Month
-
Day
Year
Date
Initial here to electronically sign (If under 18, parent/guardian initials)
Child 2
New Child Name
First Name
Last Name
Enter Age
-
Month
-
Day
Year
Date
Initial here to electronically sign (If under 18, parent/guardian initials)
Child 3
New Child Name
First Name
Last Name
Enter Age
-
Month
-
Day
Year
Date
Initial here to electronically sign (If under 18, parent/guardian initials)
Child 4
New Child Name
First Name
Last Name
Enter Age
-
Month
-
Day
Year
Date
Initial here to electronically sign (If under 18, parent/guardian initials)
Child 5
New Child Name
First Name
Last Name
Enter Age
-
Month
-
Day
Year
Date
Initial here to electronically sign (If under 18, parent/guardian initials)
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I apply to participate in or observe equine events provided and sponsored by the Illinois Ranch Horse Association (ILRHA). By signing this Release of Liability, I understandthat my involvement in a Ranch Horse Event will expose me to above normal risks due to the unpredictable behavior of horses and their reactions to surroundings of unfamiliar objects, sounds and cattle. Examples of these risks include: collisions, kicking, biting, rearing, bucking, striking, rolling, bolting, and trampling. I understand that horses have a tendency to behave in ways that may result in injury, harm or death to a person on or around it. I agree that I assume and acknowledge these and other dangers that are inherent in horse related activities. I agree that I am responsible for my own safety. I agree that I have my own medical coverage. I agree that the ILRHA, their members, employees, and agents will not be liable if I suffer personal injury or death. I agree not to bring any claims, demands or law- suits against ILRHA, their members, employees or agents. I agree that if ILRHA, their members,agents or employees are sued by anyone else because of claimed conduct by myself, I will indemnify and hold them harmless from all damages and costs, including reasonable actual attorney fees. I agree that by signing this release it becomes binding on me, my heirs and assigns, and thus I am allowed to participate in ILRHA activities or ride on property rented or in use for events. I agree that, THIS RELEASE CONTITUTES A WAIVER OF LIABILITY BEYOND THE PROVISIONS OF THE ILLINOIS EQUINE LIABILITY ACT. I agree that Illinois law governs the enforceability of this release. I acknowledge that I have read this waiver and liability release and I fully understand it, I am 18 years of age or older, and that I am signing this release on my own behalf (or on the behalf of my minor children), our heirs, representatives and assigns. I understand that I am responsible for my own financial loss in relation to any theft or damage to my tack, equipment, vehicles, trailers, and horses while on the premises where and Equine event is held.
Upon Purchase of an ILRHA membership, member agrees to abide by the By Laws and Rules and Regulations of ARHA and ILRHA.
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How will you be paying?
*
At next show. It is your responsibility to make sure that this is on your show tab & gets paid.
Mail a Check: ILRHA Membership C/O Cheryl Roelfsema 3129 E 27th Road, Marseilles, IL 61341
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