Coalfields Horse Riding Club Inc.

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

PIC (Property Identification Code) *
MEDIA CONSENT - Permission for Coalfields Horse Riding Club Inc to obtain & use photographs & articles about me, my child or other person mentioned above in their publications which may include social media, newsletters, websites, media articles, promotions & competitions. *
What is your rider status? *

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.