Riders Interscholastic Federation of North America, Inc.

Farm Application

Farm Contact Information:

Facility Name:                                                                                                                                                       

Address:                                                                                                                                                                 

City:                                                                        State:                                 Zip:                                              

Telephone:                                                                  Fax:  _____________________________

Farm Owner Name:  ________________________________________Phone: ____________________

Farm Contact Name:  ______________________________________________________________

Cell/Pager:  ____________________   Email:  ________________________________________

Farm Facility Information:

Number of Horses Available for lessons:                              

Type of Barn operation (i.e.: lesson, private, sales, boarding, schooling, etc.):                                                    

Have you hosted shows in the past?         Yes           No

Number of arenas:  ________________      Are any arenas lighted?   Yes                No

Will your farm be able to host RIFNA Shows or Meets?  Yes             No         Yes, offsite*

*Please explain:  ______________________________________________________________________

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 (Please understand RIFNA requires every team to host a show or a meet at least once a year and, if your facility cannot then you will need to team up with other farms or rent a show facility.)

Coach’s Information:

(All RIFNA coaches must be at least 21 years of age and must complete the RIFNA COACH APPLICATION.  Include any assistant coaches that will be working with the RIFNA student members. RIFNA Assistant coaches must be 19 years of age, affiliated with RIFNA coach, and complete Assistant Coach Application  to be in RIFNA program.)

Coach’s Name:                                                                                           DOB:  ­­­­_________________________

Disciplines Taught:  Dressage                  Hunter/Equitation               Western

Coach’s Name:                                                                                           DOB:  ­­­­_________________________

Disciplines Taught:  Dressage                  Hunter/Equitation               Western

Coach’s Name:                                                                                           DOB:  ­­­­_________________________

Disciplines Taught:  Dressage                  Hunter/Equitation               Western

Insurance Information:

Insurance Company:                                                                                                                                                              

Liability Amounts:  $___________________            Expiration Date of current cycle:  ________________

Proof of insurance must be submitted with this application.

The above-information is true to the best of my knowledge, and I am applying for Barn Membership on behalf of the above-named facility.

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Signature                                                     Date

For further information, please contact us.