Welcome from all of us at UCEA and congratulations on joining our association.

Please fill out the following form, print it out and send it to: UCEA, p.o.Box 4075, St. Catharines, Ontario L2R 7S3 with a cheque.

You have joined a group of people whose love is horses and benefit from fellowship, trail rides, vacations, information workshops, quarterly newsletters and monthly meetings and much more. PLEASE PRINT



NAME____________________________________________Date____________



ADDRESS___________________________CITY_________________________



POSTAL CODE________________________________________________



PHONE_______________________________________________



EMAIL ADDRESS:___________________________________________

(Please Circle)----- SINGLE MEMBERSHIP $15.00--------FAMILY MEMBERSHIP $20.00

(Please Circle)------ NEW MEMBER? ---------- OR -------- RENEWAL?

If applying for family membership please list family members:



1.__________________________________________________



2.__________________________________________________



3.__________________________________________________



RELEASE AND INDEMNITY AGREEMENT This must be read and signed before membership is accepted. In consideration of being accepted as a member of and being permitted in the activities of the UCEA, I hereby release and forever discharge the UCEA , its officers, directors, servants, agents and representatives from any and all claims, demands, damages, costs, expenses, actions and causes of action whether in law or in equity in respect of death, injury, loss or damage to my person or property, however arising as a result of my participation or my children’s participation in any UCEA program, function or activity. I understand that this release includes the release of any liability which may arise by reason of any negligence, error or omission on the part of the aforesaid. I declare that this release is binding upon me, my heirs, executors, administrators and assigns. I further undertake to hold and save harmless and agree to indemnify all the aforesaid from and against any and all liabilities incurred by any and all of these arising as a result of my children’s participation in the said UCEA activities. By signing this agreement I acknowledge having read, understood and agreed to the above release and indemnity. I warrant that I am at lease 18 years of age, physically fit to participate in UCEA activities and that my horse and equipment are sound and fit and suitable for the intended use in such activities. For family applications all names must be listed and signed. For applicants under 18 a parent or guardian must sign.



SIGNATURE_______________________________________DATE_____________________