Jumping Tasmania North

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Are you an Equestrian Australia/Equestrian Tasmania Member *
If yes, are you an Equestrian Australia/Equestrian Tasmania Competitor *
If yes, are you an Equestrian Australia/Equestrian Tasmania Participant *
In Case of Accident Name of Contact *
In Case of Accident Relationship of Contact *
In Case of Accident Mobile # of Contact *
Is your horse registered with Equestrian Australia/Equestrian Tasmania? *

Notes

NOTE:
Family membership consists of two parents/guardians (senior riders) and thier one/two children (junior riders)
Please ensure that all names and DOB's are provided for junior family riders.

 

For membership enquires please contact Secretary Abby via email [email protected] or phone 0439 966 174

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.