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Club Administration

Thames Valley

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Member Details

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Last Name:* Please enter last name

Date Of Birth:* Please select date of birth Please enter a valid date

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Residential Address

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Home Phone:

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Mailing Address

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Work Phone: Ext:

Other information

Rider FEI:

Rider EA:

Occupation:

Financial:

Pony Club Examiner Level (if applicable):*

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Have you read the Thames Branch Pony Club Membership Forms?:

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Yes

Have you read the Thames Branch Pony Club H&S Register 2020?:

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Yes

Pony Club Coaching Level (if applicable):*

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Ethnicity - Choose from the following options:*

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Asian

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Maori

Middle Eastern/Latin America/Africa

NZ European

NZ Maori European

Other

Pacific Peoples

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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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