First Name*

Last Name*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Birth Year (only if competing as Junior rider - Under 18 on Jan. 1 of current year. Enter only the four-digit year): Birth Year (only if competing as Junior rider - Under 18 on Jan. 1 of current year. Enter only the four-digit year) is not valid

Phone: Phone is not valid

Privacy Policy - May we share your contact information with other members of MDCTA via a club roster and/or email contact list?:* Privacy Policy - May we share your contact information with other members of MDCTA via a club roster and/or email contact list? is Required

Yes No

Business Name (Only if you have a Horse-Related business - in the next three fields, enter Name, Type, and Web link and it will auto-post in the Member-Owned Services section of MDCTA.com. Otherwise leave blank.): Business Name (Only if you have a Horse-Related business - in the next three fields, enter Name, Type, and Web link and it will auto-post in the Member-Owned Services section of MDCTA.com. Otherwise leave blank.) is not valid

Business Type: Business Type is not valid

Business Website Link (must include http(s):// - copy/paste one URL from your site): Business Website Link (must include http(s):// - copy/paste one URL from your site) is not valid

Comment: Comment is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

PayPal & Credit Card

Pay via your PayPal account

No val Please fix the errors above

Pay

$60 / Year

2026 Individual Membership – Payment
$60 / Year
$60.00