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Club Member
Club Administration

Wairarapa

Member Registration

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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

Sex:* Please select sex

Email:* Please enter email Invalid email

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Residential Address

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Home Phone:

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Mailing Address

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Suburb:* Please enter suburb

Country:

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Other information

Rider FEI:

Rider EA:

Occupation:

Financial:

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 First Aid certificate:

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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

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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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