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HORSES HEALTH DECLARATION Section will appear on ALL EVENT Waivers. This MUST be completed at the time of Entering. You will need to put Name of Event & Date of the LAST Event your Horse Attended within the previous 3 months.

I will complete a horse health declaration for evey event I attend *

What Kind of Equine Event are you interested in? *

Dressage

Fun Days

Hacking

other

Western

If other, please specify

Club Event Photography

I give permission for the use of photographs containing any of the members listed for us on Valley Equestrian Club Facebook Page and website www.valleyequestrian.net *

Yes

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 an Adult/18+. Children/under 18 memberships can be added on the next page.

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.

Valley Equestrian Club Kempsey

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