Boots and Saddle Riding Club, Inc.

2850 Fish Hatchery Road, Allentown, Pennsylvania 18103

INVITATION for CLUB MEMBERSHIP

Revised January 2012

elcome to the Boots & Saddle Riding Club our areas premier private riding Club. Boots and Saddle was organized in 1938 as a Non-Profit Corporation under the laws of the Commonwealth of Pennsylvania by a group of horsemen for the sole purpose of promoting closer fellowship among horse lovers. In order to accomplish this a headquarters was established for dissemination of knowledge in the care and maintenance of horses, for the furtherance of equitation, and to offer membership by invitation through existing members associates, friends, family, etc. To achieve these ends, stables were leased in the Parkway near the Trexler Fish Hatchery. This site was selected due to its natural advantages and easy access to the Parkway. The Bridle Path in the beautiful Lehigh Parkway extends more than 14 miles along both sides of the Little Lehigh River. It is glorious at any season of the year, but probably the most exciting in fall when there is a nip in the air that is exhilarating to both horse and rider. We owe the trails existence to many people. First of all, the Parkway land originated from many old families in the surrounding areas; the region along the creek to the south of the Boots and Saddle barn was at one time the Rathburn Farm, that around the Fish Hatchery was set up in early days as a Watershed, and the section across from Boots and Saddle was contributed by General Trexler. The actual Boots and Saddle property, whose barn at one time was for sheep, was purchased from the Trexler Estate. General Trexler also left provisions for assistance in keeping up the Parkway and the Bridle Path from original application 1950. With a Club steeped in such tradition and rooted with much love of horses, we respectfully request that the application in its entirety be completed at the time of submission. As a private Club, we take great pride in preserving its history, the exquisite grounds, family atmosphere, and promotion of the love of horsemanship.

Prospective Member Information:

Name:_____________________________________________________________ May we contact you at work? ___Yes ___No Via Email?___Yes ___No Email:__________________________

Home Address:________________________________________________________________________________ Previous Home Address; if Less than 2 years ____________________________________________________ Home Phone:_______________________ Work Phone:____________________ Place of Work:_____________________________________ Age (only if under 18):________

Occupation:______________________________

If married, Name of Spouse or Significant Other:____________________________________________________ Name and Ages of Children:_____________________________________________________________________

SELECTION of MEMBERSHIP
[ ] SOCIAL Membership $30.00/yr [ ] PROVISIONAL Membership $75.00/yr
*see next page for membership descriptions.

COMMITTEE PREFERENCES AUDIT BUILDINGS FINANCE GROUNDS HORSE SHOWS LONG RANGE PLANNING MEMBERSHIP SOCIAL/SPECIAL EVENTS STABLE
**NOTE: every member is required to be an active part of at least 1 (one) committee and also volunteer 24 work hours annually or pay the assessed work hour fee. Committee openings are limited and availability is at Committee Chairpersons discretion so please mark 3 choices.

Boots and Saddle Riding Club, Inc.

2850 Fish Hatchery Road, Allentown, Pennsylvania 18103 TYPES of MEMBERSHIP

INVITATION for CLUB MEMBERSHIP

Revised January 2012

SOCIAL: allows the member to attend club social functions and use club facilities but does not allow the Social member

to permanently stable a horse on the club grounds or to vote at club meetings. The current annual dues for the clubs fiscal year ending March 31 are $30.00 payable with your application. Note: social members can not lease nor ride a horse.

PROVISIONAL: Restricted to persons 18 years old or older. Allows member to attend club social functions and use
club facilities provided such member works actively on one of the Committees. The current annual dues for the clubs fiscal year ending March 31st is $75.00. Payable with your application. The Provisional Member does not have a vote at club meetings until they become a Regular Member. Each Provisional Member will be eligible, after 1 calendar year, for Regular membership upon approval by the Board, provided that he/she is in good standing with the Club. When Provisional Member becomes a Regular Member, there is a one time $50.00 membership certificate fee. The individual will receive written notification from the Secretary as to the date Regular membership can be achieved.*

REGULAR: A Regular Member is a member who has satisfied the twelve-month requirement of a Provisional

membership and has been approved by the Board. A Regular Member has voting privileges and the ability to hold office.*
*STABLING PRIVILEGES: If an applicant desires to permanently stable a horse on the club grounds, the applicant must apply for the above described Provisional membership and make a one-time donation in the amount of $350.00, called a facility/stall bond, in addition to the current monthly horse board. The bond is non-refundable once a horse has been moved into the Club barn. The applicant must also participate in a committee and volunteer at least 24 hours on work projects or pay an assessment fee which is in addition to the monthly board. At the time of application if the applicant intends not to currently board a horse then the applicant will have to pay the facility/stall bond at such time prior to boarding a horse. Note, the Club does not guarantee stall availability at the exact time an applicant needs it.

STABLING PRIVILEGES
NAME of HORSE:_____________________________________________________ Breed:__________________ OWNER(s) of HORSE:_________________________________________________ Gelding / Mare / Pregnant
Stallions & Mares in-foal are not allowed

VETERINARIAN:____________________________________________________ Hands High _________ PHONE:_____________________ If your invitation is approved, the Club requires verification of the following 1 week prior to bringing the horse: [ ] Coggins Test (negative) within 1 year [ ] Worming Record every other month (at least last time done) [ ] Rabies [ ] Vet Certificate if horse is crossing state lines [ ] Rhino/Flu [ ] Emergency Contact Form Completed [ ] TTEW [ ] Feed Requirements (currently receiving) [ ] Potomac Fever (optional) [ ] Turn in/out Selection Form Completed [ ] Strangles (optional) [ ] Tetanus Shot [ ] West Nile (optional) [ ] Botulism (optional) Current Stable:___________________________________ Years at Current Barn? ________ Why are you leaving your current facility?___________________________________________________________ _____________________________________________________________________________________________ May we contact current facility at this time? ___Yes ___No Contact Name:___________________________________________ Contact Number:________________________ If No Current Stable, list three other References and Phone Numbers: _____________________________________________________________________________________________ _____________________________________________________________________________________________

________________________________________________________________________________

Boots and Saddle Riding Club, Inc.

2850 Fish Hatchery Road, Allentown, Pennsylvania 18103

INVITATION for CLUB MEMBERSHIP

Revised January 2012

MEMBERSHIP [ ] $75.00 -Provisional FACILITY/STALL BOND [ ] $350.00 for boarding a horse

[ ] $30.00 -Social

[ ] No horse currently stabled at Club [ ] No horse boarded

$ $ $

MONTHLY BOARD [ ] $325.00/mo (can be pro-rated by days)

TOTAL AMOUNT Paid with Application:

All checks/mo will be voided and returned in a timely manner if application not accepted.

The APPLICANT MUST BE sponsored by 3 regular Club members IN GOOD STANDING. The application MUST BE POSTED on the Club Bulletin Board for 10 DAYS prior to being presented at the next monthly board meeting to be eligible for membership consideration. Prospective member 1. Please introduce yourself to other current members for sponsorship. 2. Return completed application; mail/put in breezeway mailbox for review prior to posting. Sponsored By:____________________________________ (Original Signature) Co-Sponsor:______________________________
(Original Signature)

Co-Sponsor:________________________________
(Original Signature)

I do acknowledge and agree to abide by, and see that all my children and guests abide by, the current and future provisions of the By-Laws and Rules of the Club as set forth. Should I at any time stable a horse or horses at the Boots & Saddle Riding Club, I agree that the Club shall not be held liable for the horses loss or injury as a result of fire, accident, or inadvertent act of a Club member, Club employee, or any other person on the Club premises. I agree that all personal property left on Club premises is at my risk only, and that the club shall not be liable for damage thereto or theft thereof. I further agree to indemnify the Club against any liability for the actions of, or of any damages caused by, my horse while stabled at the Boots & Saddle Riding Club. Any fraud or misrepresentation contained in this application will be cause for immediate termination of membership and/or dismissal.

I HAVE READ and FULLY UNDERSTAND the MEMBERSHIP REQUIREMENTS as stated in this application, and I HAVE been appraised of the current MEMBER RULES and REGULATIONS. This form WILL NOT be provided to third parties.
Applicants Signature:__________________________________________________ Date:___________________ Post this application on the club bulletin board in the breezeway at Boots & Saddle Riding Club, 2850 Fish Hatchery Road, Allentown, PA 18103. If you have any questions, please call membership chairperson, Chris Gaines 484-264-1805. Thank you.
The board and by-laws supersedes this document if there are any discrepancies. Form revised date January 2012.