Huntingfield Pony & Riding Club Inc

Member Registration

Member Details

Residential Address

Other information

Please advise your membership category *
PCT Member Number *
Parent/Guardian details (Ordinary & Associate members only)
Parent/Guardian No 1 Name
Parent/Guardian No 1 Address
Parent/Guardian No 1 Phone Number
Parent/Guardian No 1 Mobile
Parent/Guardian No 1 Email
Parent/Guardian No 2 Name
Parent/Guardian No 2 Address
Parent/Guardian No 2 Phone Number
Parent/Guardian No 2 Mobile
Parent/Guardian No 2 Email
Horse/Riding Details (Ordinary & Associate members only)
Name of Horse/Pony
Age
Height
Colour
How long owned by you?
Does your horse have previous pony club experience? Pleaes provide details
Riding Experience:
Please provide information on previous riding experience, ie have you had regular lessons and if so, with whom? Have you been a member of any other Pony Club or Riding Club?
As you are aware, the success of any club depends heavily on the support and involvement of our members and community.
There will be times when we will be asking for your assistance. Please indicate below which areas you would prefer to be contact about, to help your club
Canteen
Working bees/grounds
Events/fundraisers
Committee membership
Newsletter
Other
Health Statement
Main contact person at pony club events *
Phone Number *
Other Emergency Contact No 1 Name *
Other emergency contact No 1 phone number *
Other Emergency Contact No 2 Name
Other emergency contact No 2 phone number
Normal Doctor Name *
Normal Doctor Address *
Normal Doctor Phone Number *
When was the rider's last tetanus injection given? *
Does the rider suffer from asthma? *
If yes, please send asthma plan prepared by doctor to club
Is the rider allergic to any drugs? *
If yes, please give details and action plan
Does the rider have any allergies other than drugs? *
If yes, please give details and action plan (ie jack jumpers, peanuts)
Does the rider have any other medical problems? *
If yes, please provide details

Membership Information

Members please note: Fees have been increased slightly this year to incorporate the Nominate processing fee for using the online system.

 

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.