NEW ENGLAND EQUESTRIAN CENTER OF ATHOL
2018 YOUTH MEMBERSHIP APPLICATION FORM
YOUTH'S NAME:______________________________________________________________________________ ADDRESS:___________________________________________________________________________________
TOWN:_____________________________________ STATE:____________ ZIP:_____________________
PHONE:____________________________________ CELL PHONE:_____________________________________
EMAIL ADDRESS (please print clearly) : ____________________________________________________________
Please circle your desired membership level: Youth members get a free tee shirt. Please indicate appropriate youth or adult size for the youth member.
Youth - $10 (under 18)
Youth Tee Shirt Size (check off one): ___ Small (6-8) ___Medium (10-12) __ Large (14-16) ___ XL (18-20)
Adult Sizes: ___ Small ___ Medium ___ Large ___ XL
Please check here if you are interested in volunteering your time at any of the NEECA fundraising and social
events we sponsor throughout the year. The success of our organization greatly depends upon the willingness
of our members to donate their time/talents to ensure our events are successful and your involvement
would be greatly appreciated! We may call you before an event that you are interested in to sign you up for some volunteer hours.
What are your preferences for volunteering? Please check all that apply.
___ Gymkhana ___ Youth Fun Day ___ NEECA Show in Barre
___ Clean-Up Day at Park ___ Equestrian Showcase
___ One or more of NEECA Clinics ___ Fall Social
Phone Number:___________________________ Email:________________________________________
Please make $10 checks payable to "NEELMCC". Yearly membership effective January 1st through December 31st of each calendar year. Mail to our Membership Coordinator:
Rosemary Lyman, 75 Whitaker Road, New Salem, MA 01355. Phone: 978-544-2342
Please feel free to contact the Youth Coordinator, Pam DeGregorio, with any questions or suggestions for increasing youth participation and/or youth activities: