Bega Showjumping Club

Member Registration

Member Details

Residential Address

Other information

Is this member under 18 years? *
Medical Information
Any injuries or Illness that we should be aware off?
I give permission for basic first aid to be given and if needed and if necessary for medical assistance to be called *
Do you have ambulance cover? *
If yes, please advise your provider
If yes, please advise Number
Media Release
I give consent for photographic and video images of my child and I release these documents to be used in newspaper, radio, television, websites & social media for the purpose of Bega Showjumping Club publicity or Posters *
Working with children check *
If yes, please provide number & expiry 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?

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