STRHA Membership & Sponsorship Application

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If you have any questions concerning the completion of this form, please contact us at southtexasrha@gmail.com. We will try to respond as quickly as possible.

Email *

New or Renewal? *

New Membership

Renewal Membership

Sponsorship Only (Non-Member)

Type of Membership? *

Individual Membership - $35.00

Family Membership - $60.00 (includes spouse & children under the age of 19)

Lifetime Membership - $300.00 (individuals only)

Sponsorship Only - $0.00 (non-member)

First Name? *

Middle Name or Initial? (Optional)

Last Name? *

If you are completing a Sponsorship (non-member), please scroll down to Section 2 after entering your last name.

NRHA Membership #?

Please check any of the following if applicable to you:

NRHA Professional / Trainer

Youth (18 & under as of Jan 1st of the current year)

Prime Time (50 & older as of Jan 1st of the current year)

Masters (60 & older as of Jan 1st of the current year)

Please add additional family member(s) information: First Name, Last Name; Eligibility Designation (i.e. Trainer, Youth, Prime Time, Masters); NRHA Membership Number. Please hit enter between individual entries! ex. Joe Smith; Youth; 12345

Street Address? *

City? *

State? *

Zip Code? *

Preferred Phone Number *

Please Confirm: STRHA may use you or your family member's name(s) and picture(s) for STRHA-related website and social media material. *

Yes

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