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I/we agree to abide by the Constitution and the Rules & Regulations of the Narrabri Performance Horse Association Inc as determined from time to time. ALL CHILDREN NEED TO BE FULLY SUPERVISED BY A RESPONSIBLE ADULT, AT ALL TIMES. *	Please enter a valid date Required field is missing.
Further, I/we declare that we have read, understand and agree to the terms and conditions of the Liability Waiver Form printed on the reverse of this form. *	Please enter a valid date Required field is missing.
NOTE: If YOUTH or JUNIOR included in membership, please state date of birth (Under 18 for Youth and under 12 for Junior, as at 1st July 2025).	Please enter a valid date
AQHA Number	Please enter a valid date

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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.

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