Papatoetoe Pony Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

Certificate Currently Held:
Do you hold any of the Positions Below:*
Do you Examine at PC If Yes at What Level:*
Do you Coach at PC If Yes at What Level:*
Do you have any medical conditions or allergies we should be aware of:
Business / Company:
Ethnicity - Choose from the following options:*
Membership Information

Each family which is a member of Papatoetoe Pony Club must contribute 18 hours of working bees at events across the season.

If these 18 hours are not completed, the family will be charged a pro-rata portion of $1000 for incomplete hours.

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.