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Club Member
Club Administration

Currumbin District Horse Club

Member Registration

Member
Family
Emergency Contact
Other Info.
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Membership Category*

Please select membership category.

Member Details

Title* Please select 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* Please select 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

Address* Please enter address.

Suburb* Please enter suburb.

Country

State* Please select state.

Post Code* Please enter post code.

Work Phone Ext.

Fax No.

Other information

Rider FEI

Rider EA

Occupation

Financial:

Are you a member of another club or association? *

Please enter a valid date

Yes

Required field is missing.

Please provide names of other clubs and/or associations and membership numbers

Please enter a valid date

Equestrian Australia (EA) Member? *

Please enter a valid date

Yes

Required field is missing.

If you are a Equestrain Australia (EA) member please provide membership number

Please enter a valid date

Do you Ride? *

Please enter a valid date

Yes

Required field is missing.

Riding ability? *

Please enter a valid date Required field is missing.

Horse handling ability? *

Please enter a valid date Required field is missing.

What are your interests? Example - Dressage Comps, Western Dressage, Trail riding, Social,

Please enter a valid date

Medical Information

Please enter a valid date

Please advise of any medical issues

Please enter a valid date

Please provide details of any allergies

Please enter a valid date

Do you carry an Epipen?

Please enter a valid date

Yes

Private Medical Cover? *

Please enter a valid date

Yes

Required field is missing.

Insurance Company:

Please enter a valid date

Physical, intellectual, social, behavioral or other issues that may affect the safety of you or people around you?

Please enter a valid date

Emergency Contact name? *

Please enter a valid date Required field is missing.

Emergency Contact number? *

Please enter a valid date Required field is missing.

Acceptance of membership

It is a requirement of the "current" Currumbin District Horse Club consititution that all new members have a current club member vouch for them. The club committee must then review each application for new membership and approve it. Obviously this is a tricky task and something which is difficult, time consuming and may be sadly concidered unwelcoming by new people wanting to join the club. We will be screening new online membership as they are presented. We want to make it clear that we wont be turning anyone away without good reason. Hope to see you at the club soon :-)

Members please note: Membership runs from 1st March 2020 to 28th February 2021

Membership categories:

Single Membership includes:

Single rider only (YOU)

Access to all facilities

Yearly membership

Family Membership includes:

Four related Family members

Access to all facilities

Yearly membership x 4

Single Membership + Working Bee includes:

All working bees during membership year paid in full

Access to all facilities

Yearly membership

Family Membership + Working Bee includes:

All family working bees during membership year paid in full

Access to all facilities

Yearly membership x 4

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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