Clubs

Member
Family
Emergency Contact
Other Info.
Merchandise
Fees
Terms / Conditions
Process Payment

Membership Category*

Member Details

Title

First Name*

Last Name*

Date Of Birth*

Sex*

Email*

Alternate Email1

Alternate Email2

Residential Address

Address*

City/ Town*

Country

Province

Postal Code*

Home Phone

Mobile*

Mailing Address

Address*

City/ Town*

Country

Province

Postal Code*

Work Phone Ext.

Fax No.

Other information

Are you a Certificate Examiner *

Yes

If Yes at What Level

Do you coach at Pony Club? *

Yes

If Yes at What Level

Ethnicity - Choose from the following options *

Clevedon Pony Club Enrolment Policy

If you chose to pay the club directly our bank account is 12-3031-0899614-00 for the balance showing on your invoice.

Any queries you can email info@clevedonponyclub.org.nz

See you at Clevedon Pony Club!

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Primary member must be over 18 years of age.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

AucklandManukau-Clevedon

Member Registration

Member Details

Residential Address

Mailing Address

Other information

Clevedon Pony Club Enrolment Policy