Online Membership Form

You can submit your membership information using this online form. Fill out the information below as thoroughly as you can and click on the submit button when you are finished. After you submit the form you will presented with payment options. You can either pay for your membership online or you can mail a check to us. Additional information will provided on the next page once you have submitted your information.

Note: If you are signing up an additional family member please be sure to fill out a complete and separate form for them as well. You will find an additional payment option for family memberships on the next page along with the link for paying for the standard membership.
Please contact Elizabeth Harris if you have any questions concerning your CTDA membership.

First Name		Last Name

Address

City		St Zip

Phone		Alt Phone

USDF#		Birth Date

eMail		referred by

	I am a new member		I am a renewing member

Names of your horses (for year-end awards calculation)

Areas in which you are willing to volunteer our time: (check all that apply)
Scorer	Transportation	Scribe
Hospitality	Pre-Show Setup	Jr / Yr Group
Runner	Fund Raising	PR / Sponsorship
Gate-keeping	Video library	Club administration
Committee	Other: (Please Specify)

Additional Comments:

We Need You!!

We need folks who are interested in becoming a 2007 CTDA Board member to let us know. Most of us have completed our terms of office, and there are numerous ways you can serve your club! Please click here to email the board to let us know if you are interested.

-The CTDA Board

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