Bundaberg Country Dressage Group Inc.

Member Registration

Member Details

Residential Address

Mailing Address


Other information

EA/IQ Membership Number (optional):
Please provide information relevant to any potential medical issue that may arrive whilst participating in BCDG activities, including any considerations for First Aid Officers and Medical Personnel in the event of a fall or other accident.
Allergies: *
Allergy Treatments: *
Medical Conditions: *
Relevant Medication: (eg. Epilepsy Medication, Blood Pressure Medication etc) *
Relevant Information for the First Aid Officer and Medical Staff *
Permission for the taking of photos and video footage for circulation through media outlets, including but not exclusive to: BCDG Club Newsletters, Facebook, Website and general notices, Publication in newsletters, Viewing on other media outlets
Media Consent *

Email address is already assigned to a member,
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Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.