Whitford-Whitford

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

Are you a Certificate Examiner:
If Yes at What Level:
Current Certificate Level :*
Horse/Pony Name:
Medical Conditions/Allergies:*
If Yes please describe- please include any medication carried by rider:*
Truck/Float Registration :
Do you coach at Pony Club?:*
If Yes at What Level:
Ethnicity - Choose from the following options:*

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?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.