Wimmera Equestrian Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

I am the member, or the guardian of the member, and I have read, understood and agree to the terms of the Risk Warning and Waiver of Liability.  This membership is pending approval. (waiver is on the next page):*
Disciplines/Interests:
Please select your discipline or interest:*