Your Full Name      _______________________________________________

            Your Mailing Address  ___________________________________________

                                                        __________________________________________
 

            E-Mail Address    ____________________________________________

            Phone Number    _______________________________________

            Your Age    __________________   Your Birthday    __________________

            Sponsor    ___________________________________________________

            Getting To Know You:

            What is your nickname, if any?    __________________________________

            Do you own a horse?     ______________________

            Gelding    _____________    Mare    ______________    Stallion    ________

            What breed?     _______________________________________

            Do you own a trailer?   ____________________________

            Have you had any previous Jousting experience?   _____________________

            What class were you in?   _____________________________

            Are you married?   __________________

            Do you have children?   ______________________   How many?   _________

            What are their names?   ___________________________________________

            What type of work do you do?   _____________________________________

            Other hobbies?   ________________________________________________

                                          _________________________________________________

         Board Review Date   _____________
            Membership Approved Date   ___________
            Membership Dues Received    ___________

            Please feel free to print this form.

            Please return application with your dues to:

           Mark Weesner  – Treasurer MJTA
           22731 Stevenson Road
           Ridgely Maryland 21660