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Alternate Email1

Alternate Email2

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Previous Membership if any:	Please enter a valid date
Riders Age	Please enter a valid date
Horse Details	Please enter a valid date
Age:	Please enter a valid date
Height:	Please enter a valid date
Horse Name:	Please enter a valid date
Age:	Please enter a valid date
Height	Please enter a valid date
Horse Name:	Please enter a valid date
Horse agisted at: (if not at home address)	Please enter a valid date
It is PCAT Policy for all non-riding adults who regularly attend Pony Club to have a Working With Children Check (WWC) *	Please enter a valid date Required field is missing.
If you have a WWC, please provide the number and expiry date	Please enter a valid date
PCAT Certificates:	Please enter a valid date
Please advise here if you do NOT want photos of yourself/rider/other family member publicised.	Please enter a valid date
Any skiills or other attributes that might be useful to the club?	Please enter a valid date

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.

Mersey Valley Pony Club

Member Registration

Member Details

Residential Address

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