Cooloola Dressage Association Inc

Member Registration

Member Details

Residential Address

Mailing Address

Other information

Emergency Contact Name *
Emergency Contact Number *
Do you have any medical conditions? *



If other, please describe:
In the event of an emergency, I give permission for medical treatment to be administered. *
It is compulsory that all members assist at club activities. Please indicate below where you can assist our club. *















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.