SEDRA MEMBERSHIP APPLICATION

Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Type in your email address do not use auto fill.
Enter Email Confirm Email
New Membership or Renewal*
SEDRA #
Membership Type*
If Junior, Name of Parent, Guardian or Sponsor*
If Junior, Date of Birth*
Date Format: MM slash DD slash YYYY
Additional Family Members
First Name Last Name Juniors DOB
I would like to donate to the volunteer fund!
Donations to volunteer fund is tax deductible.
I would like to donate to the trail preservation fund!
Donations to trail preservation fund is tax deductible.
I would like to donate to the education clinic!
Donations to education clinic fund is tax deductible.
Want to be included in the membership directory?*
The membership directory is printed annually as well as listed on the website. Please know that if you expose your personal information in our directory, it will be available to the public.
- Yes - I want to be listed in the directory!
- No - I do NOT want to be listed in the directory.
If you want to be listed in our directory, we can exclude this information if you wish:
If none are checked, all of your information will be included in the printed directory which may be posted online.
- Exclude: Physical Address
- Exclude: Phone Number
- Exclude: Email Address
Would you like an annual Horse & Pony subscription?*
This annual subscription is an additional $10 per year.
Questions or Comments
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.

First Name	Last Name	Juniors DOB