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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. :*

Redlands and Southern Districts Equestrian Group Inc

Member Registration

Member Details

Residential Address

Mailing Address

Other information