If you would like to be a member of our association, please contact us my email: ckrha@alltel.net or by contacting any of our Officers & Board Members
 
2008 CKRHA Membership Application

NAME:                                                                                                                                     

BIRTHDAY (juvenile only)                                                                                                  

ADDRESS:                                                                                                                             

CITY:                                          STATE:                                        ZIP:                               

HOME PHONE:                                        BUSINESS PHONE:                                          

E-mail:_________________________________________________________

CHECK APPROPRIATE:
                INDIVIDUAL MEMBERSHIP: $15.00                                                                
                FAMILY MEMBERSHIP: $20.00                                                                        
                     (includes children 17 years & under)

SPOUSE:                                                                                                                                 

CHILDREN:                                                                                                                            

******Information for the Monthly Newsletter******

Birthdays__________________________________________________

Anniversaries________________________________________________

Misc______________________________________________________

MAIL TO:

Central Kentucky Racking Horse Association
Aleisha Grubb
190 Texas School Road
Eubank, KY 42567