Three Mountains Equestrian Club

Member Registration

Member Details

Residential Address

Mailing Address


Other information

In the event of an accident an ambulance may be required. I agree to meet all costs associated with medical care while participating in club activities *
Are you a member of EA *
If yes, enter you EA membership number
I accept my photo being used for website/promotional use *

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.