2009

CENTRAL OREGON PAINT HORSE CLUB

MEMBERSHIP

Name:_______________________________________________Spouse:____________________________________

Ranch
Name: _______________________________________    E-Mail:________________________________________
Children  and age (under 18) must be listed below:                      (Please Print Clearly  THIS IS YOUR CONTACT)
1)_________________________________________                2)__________________________________________

3)_________________________________________               4)__________________________________________

Address:_____________________________________City/State:__________________________Zip___________

Phone:_______________________Cell Phone:______________________Web:_____________________________

Check Type of Membership with “X”

________Family or Ranch $20.00 (includes children under 18)________Youth $10.00 ________Amateur $15.00

________Charter Membership $10.00  (Open Shows Only to qualify for the Silver Buckle Open Show Series, points
 will not  count until such time as you’re a member of the COPHC, however you do not need to own a PAINT to show 
and qualify for the Silver Buckle Awards at our Open Shows.  If you have a Paint and think you might want to participate
 in APHA Shows please join as a regular member, ranch, youth or amateur.)
 
To qualify for NWCC, OCC Points it is necessary that all individual(s) owning the horse must be a member of a NWCC 
Membership Club in this case COPHC; youth under 18 maybe included under a Family/Ranch membership but must be 
listed on the application and Amateurs must obtain their own individual membership even if they are showing a horse owned 
by a family with a membership
BUT that family/owners must also be a member.   Please list the Amateurs family member 
that might be showing a horse listed in Owner/Ranch name above.  If Ranch Membership all owners must be listed but again 
the Amateur must have an individual membership. 
THIS IS VERY IMPORTANT, AS YOUR POINTS WILL NOT COUNT 
TOWARD NWCC/OCC YEAR END AWARDS
.  

OWNERS OF HORSE BEING EXHIBITED WOULD YOU PLEASE LIST THE AMATEURS THAT ARE RELATED AND MIGHT BE SHOWING YOUR 
HORSE THAT IS LISTED IN YOUR NAME WITH THE APHA.  REMEMBER BOTH AMATEUR AND OWNERS MUST HAVE INDIVIDUAL 
MEMBERSHIPS UNLESS THE OWNER IS THE AMATEUR.  HUSBAND AND WIFE OWNERSHIP DO NOT QUALIFY FOR UNDER THESE RULES 
AND THE AMATEUR STILL MUST HAVE AN AMATEUR MEMBERSHIP.  THIS IS THE SAME RULES AS APPLIED BY THE APHA.

RELATED AMATEURS TO OWNERS (THIS LISTING IS ONLY FOR TRACKING IN THE NWCC POINTS NOT AN AMATEUR MEMBERSHIP)

1)___________________________________________    2)_______________________________________________

3)___________________________________________    4)_______________________________________________

Please attach check made out to COPHC for Membership fees and return to:
Kay Simmelink, Secretary & Newsletter
2278 S. W. Culver Hwy , Madras , OR 97741   (541)475-2743    E-mail  barlnk@madras.net  

YOU ARE WELCOME TO READ OUR COPHC WEB SITE AT  www.centraloregonpainthorseclub.com
If you are interested in further information on PAC or TRAIL RIDES, Please check here ______.   Our meetings are held 
the 2nd Wednesday of each month at 6:30 in Redmond , Oregon.  E-mails will be sent out as to the location,date and time.  
Currently we meet at the Black Bear Diner, 429 NW Cedar Street , Redmond .  ( Main street going North)  
You are notified of meetings and activities via E-mail so please print so we can make contact with you.  If you have 
questions please contact barlnk@madras.net