Mersey Valley Pony Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

Previous Membership if any::
Riders Age:
Horse Details:
Age::
Height::
Horse Name::
Age::
Height:
Horse Name::
Horse agisted at: (if not at home address):
It is PCAT Policy for all non-riding adults who regularly attend Pony Club to have a Working With Children Check (WWC):*
If you have a WWC, please provide the number and expiry date:
PCAT Certificates::
Please advise here if you do NOT want photos of yourself/rider/other family member publicised. :
Any skiills or other attributes that might be useful to the club?: