Jumping Tasmania North

Member Registration

Member Details

Residential Address

Other information

Are you an Equestrian Tasmania Member
If yes, are you an Equestrian Tasmania Competitor
If yes, are you an Equestrian Tasmania Participant
In Case of Accident Name of Contact *
In Case of Accident Relationship of Contact *
In Case of Accident Mobile # of Contact *

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 message our Facebook page or contact Secretary Bek Dornauf via email rtyler89@gmail.com or phone 0418518115

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.