Date of Application:
_______________

Name: _____________________________________________________________

Address:____________________________________________________________

City:________________________     State:________   Zip:_____________

Phone:______________________________________

Email Address:_________________________________

Jr.'s DATE OF BIRTH:__________________________


Adults:  Amateur ______     Professional________


Please check membership type:


         Single $20.00       Family $40.00       Lifetime $200.00


Please return membership applications with check payable to ETHJA to:

John Kearns
3015 West Gallaher Ferry Rd.
Knoxville, TN 37932

Remember to ensure you will be on the mailing list forms should be received no later than April 1^st.


Notice: As of January 1^st, 2004 ALL horses and ponies must be registered on a yearly basis, $10.00 annual fee,
in order for points to be accrued