Annual Membership Type
Individual Membership – $55Trainer Membership – $55Family Membership – $75
Family Membership includes 2 adults and up to 4 juniors of the same household.
Personal Information
Member Type
Junior (18 and under)Adult (19+)
Full Name
Address
City
Province
Postal Code
Phone Number
Email
Ontario Equestrian Insurance # (Mandatory)
Emergency Contact
Name
Relationship
I hereby acknowledge and agree to the terms and conditions set forth by Gateway Hunter Jumper Show Series.
I understand and agree to maintain a valid Ontario Equestrian insurance policy.
I agree to sign a waiver on the day of first horse show.
Photo Permission
I give permission to use pictures of myself, or my child(ren), on the Gateway HJSS Website or Facebook page.I do not give permission to use pictures of myself, or my child(ren), on the Gateway HJSS Website or Facebook page.
Signature Section
Parental/Guardian Name (for Junior membership)
Adult Applicant Name
Date
