Clubs

Clevedon

Member Registration

Member
Family
Emergency Contact
Other Info.
Merchandise
Fees
Terms / Conditions
Process Payment

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

Pony Club Examiner Level (if applicable):*

Pony Club Coaching Level (if applicable):*

Ethnicity - Choose from the following options:*

Asian

Do not wish to answer

Maori

Middle Eastern/Latin America/Africa

NZ European

NZ Maori European

Other

Pacific Peoples

Clevedon Pony Club Enrolment Policy

If you chose to pay the club directly our bank account is 12-3031-0899614-00 for the balance showing on your invoice.

Any queries you can email [email protected]

See you at Clevedon Pony Club!