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Membership Category*

Member Details

Title

First Name*

Last Name*

Date Of Birth*

Sex*

Email*

Alternate Email1

Alternate Email2

Residential Address

Address*

Suburb*

Country

State*

Post Code*

Home Phone

Mobile*

Mailing Address

Address*

Suburb*

Country

State*

Post Code*

Work Phone Ext.

Fax No.

Other information

Do you have current First Aid qualifications *

Yes

Equestrian Queensland Membership

Competitor EA Number

Participant EA Number

Official

Judge

Coach

Horse Details

Horse 1 Name

Horse 1 Bridle Number

Horse 1 EQ Registration Number

Horse 2 Name

Horse 2 Bridle Number

Horse 2 EQ Registration Number

Please be aware that you need to do a volunteer non-riding day in 2024 *

By ticking the box, you have read and accepted the rules for use of the RHPC grounds. It’s important to check the Redlands Horse and Pony Club calendar to make sure the grounds are free to use. RASDEG members may NOT use the grounds on the days allocated to RHPC members Generally, the grounds are free during the week, but you must check. *

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.

Redlands and Southern Districts Equestrian Group Inc

Member Registration

Member Details

Residential Address

Mailing Address

Other information