Join the Kansas horse racing association that is committed to promoting and protecting the horse racing and breeding industry of Kansas.

You may print the form out and send it along with the membership amount, or complete the form on-line, forwarding the membership fee to KQHRA, P O Box 228, Eureka, KS 67045.  Individual membership is $40.  Husband and wife can each become voting members for $60, or you can become a lifetime member for only $250 each.   Youth membership (18 & under, no vote) is $5.

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
                        OWNER    TRAINER    BREEDER

                        New member    Renewal  KQHRA ID#