New Membership/Renewal of Membership

Renewing Members Only Need To Complete Sections 1-3

1. Personal Information

Are you Renewing your membership?
Yes     No

Last Name:
First Name:
Middle Name:
Home Phone:
Cell Phone:
Birth Date:
Email Address:
2. USTPA Membership Type
$37 Youth Membership (under 17 years as of 10/10/16)
$68 Individual Annual
$156 Family Annual (parents and thier youth children, as defined above)
$520 Individual Lifetime
$780 Family Lifetime*
$37 Show Official(does not include $25 test fee)
*Family includes parent(s) and their children who are under the age of 17 as of 10/10/16 and have the same mailing address as parents. For Family Memberships, list all other family members to be included below and complete a membership application form for each family member(for rider purposes).
3. Flag's Up! Magazine
USTPA Competing Members with U.S. addresses receive a subscription to Flag's Up!
I prefer to view Flag's Up! online and do not need a mailed copy.
My household receives duplicate copies and I do not need one.
Foreign addresses add international postage
4. Member Handbook
You can download and view the member handbook at the link below
USTPA Member Handbook
5. Rider Rating Assessment Information

Penning Riding Ability
Sorting Riding Ability
Penning Competition Experience
Sorting Competition Experience
Penning Competition Record

Sorting Competiton Record

Please List below the Name of Any USTPA Member(s) Who can Attest to Your Abilities
Please List any Events or Arenas Where You Ride on a Regular basis
Penning Access to Partners

Sorting Access to Partners

# of Top 10 Finishes at Regional or National Shows of any Association or Circuit in the last 2 years:
# Out of State Shows Attended/Yr:
# of Classes Penned/Sorted Last Yr:
# of Yrs Penning/Sorting:
Describe anything else that you feel should be considered in your rating as a rider:
Whom may we thank for referring you?    

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