Motueka-Motueka

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

What Certificate Level do you currently have?:
Are you a Certificate Examiner:
If Yes at What Level:
Show Name of your Horse/Pony:
Paddock Name Of your Horse/Pony:
Do you hold a current First Aid Certificate:
Date of birth of you Horse/Pony:
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.