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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 *

Membership Information

Membership Fees as set at 2022 AGM

Family membership $150 (1 child $100 + 1 adult $50)
$50 for each additional rider in a family
Adult non-riding membership $50
These fees are set by the committee and are subject to review annually. Subscription must be paid by the due date; this is essential for our insurance cover
Please advise Amanda McAree of any changes to personal details - email address, phone number etc.

CONDITIONS OF MEMBERSHIP:

ADHERE TO FAIR PLAY CHARTER
PAY SUBS AND OTHER DUES ON TIME
ATTEND WORKING BEES
ASSIST WITH RUNNING CLUB'S EVENTS

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.

Waverley-Waverley

Member Registration

Member Details

Residential Address

Mailing Address

Other information

Membership Information