Great Plains Hunter Association

Become a Member

Membership in GPHA is open to anyone. Our annual membership year commences on January 1st of each year. Dues become payable in January and membership expires on December 31st. Anyone joining at any time during the membership year must pay the full amount on annual dues.

NOTE: GPHA does not issue membership cards.

Membership Form

Rider's Infomation

Membership For

If family membership, please list all family member names.

Phone

Address

City

State

Zip Code

Rider's Jacket Size

USHJA #

Trainer's Name

Horse's Infomation

If riding more than one horse, additional horse is $5.00 per horse.

Horse's Name

Horse’s name must be used at all GPHA shows held during the show year for points to be counted.

Horse's Color

Horse's Age

Horse's Sex

Horse's Breed

Horse's Height

Horse's Blanket Size

Horse's Halter Size

Owner's Infomation

Owner must be a paid GPHA member at the time of registration in order for points to be counted for year-end awards on this horse. (Lessee is also considered Owner.)

Name

Address

City

State

Zip Code

Please Read and Sign

I agree to participate, or my child/children has my permission to participate in any GPHA show for the year . Every class entry at a GPHA competition shall constitute an agreement and affirmation that all participants (which include without limitation, the owner, lessee, trainer, manager, agent, coach, driver, handler, rider and the horse) for themselves, their principle, representatives, employees and agents: (1) Agree to hold the competition, it’s managers, officials, employees, agents, the facility owners and operators, and the GPHA Committee members harmless from and against all claims and risks of injury or loss, and they agree to indemnify GPHA and it’s Committee members harmless from against all claims including any injury or loss suffered during or in connection with the competition, whether or not such injury, claim or loss resulted directly or indirectly, from the negligent acts or omissions of said competition, its employees and agents or the facility owners and operators.

WARNING: Under Kansas law, there is no liability for an injury to or the death of a participant in domestic animal activities resulting from the inherent risks of domestic animal activities, pursuant to Section 1 through 4. You are assuming the risk of participating in this domestic animal activity K.S.A. 60-4001 through 60-4004. Inherent risks of domestic animal activities include but shall not be limited to: (1) The propensity of a domestic animal to behave in ways, i.e., running, bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or around them: (2) The unpredictability of a domestic animal’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals: (3) Certain hazards such as surface and subsurface conditions: (4) Collisions with other domestic animals or objects: (5) The potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the domestic animal or not acting within such participant’s ability.

Fees

Single Membership ($30.00)

Family Membership ($45.00)

If riding more than one horse, additional Horse ($5.00) per horse.

Please consider a donation to GPHA for our Memorial Funds. You may include any amount with your membership.

Please pay be check made payable to GPHA.

Send to:

Julie Wint

14200 S. Waverly

Gardner, KS 66030

Rider's Signature (If Over 18)

Parent/Legal Guardian Signature