VRHA MEMBERSHIP APPLICATION 2022

VRHA MEMBERSHIP APPLICATION 2022

1st January - 31st December
Name *

First Name Last Name
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *
Youth DOB

Day Month Year
Parent/Guardian Name - Youth membership application

First Name Last Name
Parent/Guardian Phone Number - Youth membership application
Please volunteer to your club, support from the membership makes a difference to the future of your club. Without voluntary help the club has to pay workers, our preference is not to increase the membership levy to cover these costs.
I am available to assist at the following VRHA show/s:

January 29/30 February 28 (State Show set up) March 1-5 (State Show) August 20/21 October 15/16 November 12/13
I am available to help the club with:

Show Arena Set Up Show Arena Set Up Drag Show Arena Pack Up Show Arena Pack Up Drag Office Set Up Office Pack Up Warm Up Arena Set Up Warm Up Arena Drag Warm Up Arena Pack Up Warm Up Arena Pack Up Drag Gate Marshall Event Tractor /Drag Show Announcer Scribe Fundraising Sponsorship Administration Support Office Help at show Presentations Show Media FB Posts
Membership Select New or Renewing *
I am applying for the following VRHA Membership:
Select Membership *
prev next ( X )
Helpers Donation - Yes In addition to my membership I would like to assist the club pay for workers when needed $ 100.00 AUD

Friend of the VRHA - Yes In addition to my membership I would like to support the 2022 Victorian State Show $ 50.00 AUD

Adult Membership ($60 VRHA Levy $15 Insurance) $ 75.00 AUD

Youth Membership 18 Years & Under ($25 VRHA Levy $15 Insurance) $ 40.00 AUD

Additional Youth Membership 18 Years & Under ($0 where Youth sibling has full Youth membership) Free

Clinic Membership ($25 Insurance Clinic / Try out attendance $ 25.00 AUD

Non Rider Member ($15 VRHA Levy + $15 Insurance) $ 30.00 AUD

NRHA Member Event Levy ($15 Insurance) $ 15.00 AUD
does not entitle to VRHA Hi-Point or Award programs

Total $ 0.00 AUD
Should be Empty: