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First Name*

Last Name*

Date Of Birth*

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Alternate Email1

Alternate Email2

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Address*

Suburb*

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Membership Type *

Breed Association

Horse Number 1 Registered Name *

Horse Number 2 Registered name *

Membership No

Dual Breed Association (if applicable)

Membership No

Horse Experience

Club Volunteers

We love volunteers for our club, if you think you are able to help for a couple hours at shows as steward, gate marshall, ribbon runner etc, please let us know.

Yes

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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?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Gatton Quarter Horse & Performance Association

Member Registration

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