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EWA Membership #
*
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(All PDC members must be an EWA current member – this is a condition of insurance)
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Type of Membership
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Current First Aid Certificate
*
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Email Address (for PDC Correspondence): Please note that all correspondence is via email only. Also much information is available on the PDC Facebook page and the PDC Website.
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Email
*
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Rider Experience
*
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Current Horses
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Name
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Age
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Sex
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Competed
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Name
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Age
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Competed
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Medical Details
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Do you have any medical conditions
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if yes please list below
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Do you have any allergies?
*
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If yet please list below
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Have you had a Tetanus shot?
*
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Date of last Tetanus Shot?
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If under 18 years
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Name of Parent/Guardian
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Address
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Postcode
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Telephone (home)
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Work Phone
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Mobile
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I understand that a Parent or Guardian must be in attendance at all Training Days, and must be a member of PDC themselves (either full or non-riding).
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I also accept that if this parent/guardian has to leave one of the training days they must sign and hand in a Transfer of Responsibility Form on the day.
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I agree to above terms and conditions.
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