Rusty Stirrups Riding Club
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RSRC New Member Application 

Welcome!

First time members please print and complete forms #1 & 2 and mail them with your check (made out to RSRC) to the address at the bottom:

1. Membership Application
and
2.
Insurance Release Form and
3. Your dues of $35

Note: For all new members who ride in any of our events there is an additional one time $10 Fee which includes your
rating test and a medical armband required for all RSRC riders. (The rating test and medical form for your armband must be completed for your first riding event.)

Please note: If you wish to join RSRC and not ride in events the Rating does not apply.


Renewing Members: Glad you're back!

Renewing members please mail BOTH completed forms and check:

1. Membership Application and
2.
Insurance Release Form and
3. Your dues of $35. (After March 1, include $5 late fee.)

Make checks out to RSRC and mail to:

Debby Clark

RSRC Membership Chair

6382 Pole Green Road

Mechanicsville, VA 23116

Questions about Membership? 
Email Debby at
dtclark55@comcast.net


Medical Armband Insert  click HERE

The Medical Armband must be worn by all riders participating in club-sponsored events.

Replacement armbands are available for $5. Please email one our board members to obtain an armband. 
Also available at ChicksDiscountSaddlery.com

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