Shoalhaven Dressage Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext:

Other information

EA Registration Number:
PIC Number:*
Are you a Junior Rider (under 17 on 1st Jan 22):*
Are you a Young Rider (18 - 25 years on 1st Jan 22):*
If you are taking Junior membership, please advise the year you will turn 18:
First Horse Details:
Bridle Number:
Horse Name:*
Horse EA Number:
Veteran Horse (15 yrs and over on 1st Jan 18):*
Pony (must not exceed 149cms with shoes):*
Second Horse Details:
Bridle Number:
Horse EA Number:
Horse Name:
Veteran Horse (15 yrs and over on 1st Jan 17):
Pony (must not exceed 149cms with shoes):
Third Horse Details:
Bridle Number:
Horse Name:
Horse EA Number:
Pony (must not exceed 149cms with shoes):
Veteran Horse (15 yrs and over on 1st Jan 17):

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.