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The Pennsylvania Jousting Club
Membership Application Form
$5.00 per Member - $15.00 per Family
(open to riding or non-riding members)
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Full Name _________________________________________________________________________________
Your Mailing Address ________________________________________________________________________
_____________________________________________________________________________
E-Mail Address ______________________________________________________________________________
Phone Number - Home _____________________________ Cell # _______________________________
Your Age _______________________ Your Birthday __________________________
Sponsor Name ___________________________________________________________
Getting To Know You:
What is your nickname, if any? ______________________________________________
Do you own a horse? __________________________________
Gelding _________________ Mare _____________________ Stallion _________________
What Breed? ________________________________________________
Do you own a trailer? ___________________
Have you had any previous Jousting experience? ______________________________________________________
What class were you in? _________________________________________________________________________
Are you married? __________________________
Do you have children? _____________________ How many? ______________________
What are their names? ___________________________________________________________________________
What type of work do you do? ____________________________________________________________________
Other hobbies? _________________________________________________________________________________
By applying for membership in the PJC you agree to abide by the By-Laws and Riding Rules of this association.
Signature __________________________________________________ Date ______________________________
Please return application with your dues to:
Peggy Hoffman
100 Day Road
Fawn Grove, PA 17321
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