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Club Member
Club Administration

Levin

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Pony Club Examiner Level (if applicable):*

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Pony Club Coaching Level (if applicable):*

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Do you hold a current Level 2 First Aid:*

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Yes

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Ethnicity - Choose from the following options:*

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Asian

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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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