Clubs

Membership Category:*

Title:

First Name:*

Last Name:*

Date Of Birth:*

Sex:

Email:*

Alternate Email1:

Alternate Email2:

Address:

Suburb:

Country:

State:

Post Code:

Home Phone:

Mobile:*

Address:*

Suburb:*

Country:

State:*

Post Code:*

Work Phone: Ext:

Fax No.:

Do you have Ambulance Cover?:*

Yes

Do you have any medical conditions we should be aware of? If YES, please provide relevant details::

Do you give SFDC permission to share your email address and mobile number with other members? :*

Yes

Do you give SFDC permission to use photos of you and your horse(s) for purposes of club promotion (website, posters, Facebook, EA publications)?:*

Yes

I have read and understand the volunteering policy as outlined on the SFDC website.:*

Yes

Important Club Information