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Club Member
Club Administration

Valley View Working Equitation

Member Registration

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Membership Category:*

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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

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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::*

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

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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:*

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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 over 18 years of age.

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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