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Club Member
Club Administration

Valley View Working Equitation

Member Registration

Member
Family
Emergency Contact
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Membership Category*

Please select membership category.

Member Details

Title

First Name* Please enter first name.

Last Name* Please enter last name.

Date Of Birth* Please select date of birth. Please enter a valid date

Sex

Email* Please enter email. Invalid email.

Alternate Email1 Invalid Email.

Alternate Email2 Invalid Email.

Residential Address

Address* Please enter address.

Suburb* Please enter suburb.

Country

State* Please select state.

Post Code* Please enter post code.

Home Phone

Mobile* Please enter mobile.

Mailing Address

Country

Work Phone Ext.

Other information

Rider FEI

Rider EA

Occupation

Financial:

Please provide a short paragraph describing your riding experience, including your experiences with working equitation: *

Please enter a valid date Required field is missing.

Are you currently a member of another working equitation club? *

Please enter a valid date

Yes

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Would you volunteer to assist our club? *

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Yes

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I can help by: (select all that apply) *

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Building Obstacles

Catering

First Aid Officer

Gear Check

Judge

Mentor on Training Days

Other

Pack Up

Pencil

Scoring

Set Up

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PIC Number *

Please enter a valid date Required field is missing.

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.

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