Completed application and check should be submitted to:
Maggie Childs, MOTDRA Treasurer
983 E. 1000 Rd.
Lawrence, KS 66047

Contact Information:

Emergency Contact Information:

Membership Type:
Single Rider ($20)Family ($30)Mileage Program ($10 per horse)

Rider(s) Information:

Age: AdultJunior

First time CTR? YesNo

Mileage program? YesNo

Enter any additional rider and horse names below and indicate yes or no for the mileage program:

Fees:
Sub-total membership fees:

Sub-total mileage program fees:

Minus promo codes/discounts:

Grand total:

Volunteer Information:
Event/Ride Manager AssistantPromotions/Marketing/CommunicationsEvent Safety RiderFood Preparations/CookingClinics/ShowsJunior ProgramYour ideas?

Other club memberships: Local Riding, CTR, Endurance, Obstacle:

Check should be mailed to:
Maggie Childs, MOTDRA Treasurer
983 E. 1000 Rd.
Lawrence, KS 66047