NZCCA Membership - Membership Renewal

NZCCA Membership Renewal

2026 - 27 Season
Membership options:
- Adult $45
- Youth under 13 years (free with paying Adult)
- Youth under 18 years (as at 1 May) $30
- Family $100
What type of membership/s are you wanting to renew?
Name

First NameLast Name
Date of Birth (if aged under 18 years as at 1 May)

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
If adding a free Youth, aged under 13 year old as at 1 May, with a paying adult, please enter their details here

First NameLast Name
Youth Member Date of Birth (as at 1 May)

MonthDayYear
Date
Email (if different from Adult member)
example@example.com
Address (if different from Adult member)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If paying for a family membership please add the other members details. Name of Family Member #2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Name of Family Member #3

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Name of Family Member #4

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
I agree with the Objects of the NZCCA (refer Constitution) and will comply with its Rules and policies including the NZCCA Code of Conduct:
Date

DayMonthYear
Date
Preferred payment of membership fee is by direct deposit to:
Bank: Westpac. Acc No: 03-0887-0493175-000

Name: New Zealand Cowboy Challenge Association Incorporated

Reference: "Name" and "Membership"

Thank you for your membership renewal and ongoing support.

We will confirm your renewed membership by email once payment is received.
Should be Empty:

NZCCA Membership Renewal