BHPC Membership Application Form 2022

Brookfield Horse and Pony Club Inc.

ABN: 94 711 488 538 PO Box 61 Kenmore 4069
BHPC Membership Application Form 2022
Steps to join or renew membership

Step 1: Before you proceed with this application form, please go to the PCA JustGo portal to join or renew your pony club membership for insurance and affiliation purposes. Pay membership fees as set out, by credit card through the portal. You will be required to provide the payment reference number further down below on this form to be able to finalise your BHPC membership foir 2022.

We have included a step by step user guide to navigate the JustGo portal below. Please read or download the user guide as the site can be difficult to navigate.
JustGo User Guide
Step 2: Fill out and submit this BHPC Membership Application(s) with payment of bonds as necessary and the annual $50 maintenance levy. Membership applications must be approved by the BHPC Management Committee and applicants will be advised of ratification.

Membership Term

Membership is from 1 Jan to 31 Dec 2022.

Membership Types explained

Riding Instructors or Trainee Instructors must instruct at four musters or other BHPC events to qualify for the discounted fees.

Each family must have at least one parent / guardian who is either a Riding member or Social Member. If the applicant is aged 18 years and over, with no younger family members applying for membership, this is not required.

Part Time membership is available to riders as per BHPC Rules:

These members may attend a maximum of three musters, and all clinics and camps.
They are not required to complete Club Rosters or lodge a Club Roster Levy.
They have to pay their Show Roster Bond, and complete their roster at the Show.

Please contact the membership secretary if you have any questions regarding this type of membership on 0413 742 085 or jwillsford@yahoo.com

Fees

Club Roster Bond $150

Include the Club Roster Levy if you are a new family* OR if your family forfeited the 2022 Club Roster levy. If your family did not complete all your rosters in 2021, add the make-up amount advised by the Treasurer.

The Club Roster Levy is rolled over into the following year if you complete your required rosters/ working bees.

Club roster levy is not applicable to part time riders.

Brookfield Show Bond $150

Families are required to work 6 hours in the BHPC Canteen during the Brookfield Show. Include the Brookfield Show Bond if you are a new family, or if your family forfeited the 2021 Show Bond. This Bond is rolled over into the following year if you complete your shifts at the Show. Please note that BHPC canteen workers are required to pay an entrance fee at the Brookfield Show. You may prefer to join the Brookfield Show Society or become a member for the weekend.

Annual Family Maintenance Levy $50

This is required to cover increasing maintenance and insurance costs for the Rita O’Hanlon arena, the Long yard and equipment.

Notes for New Families*

New families may, if they wish, pay the Show bond on joining BHPC and the muster bond on 30th June 2022

Departing Families

Families who leave the club may receive a refund of their show bond and roster levy. BHPC will attempt to contact the family using the provided contact details. However if no response is received, or if no refund request is received, it will be considered a donation to the club.
Please enter you Payment Reference Number that is located on your payment confirmation (received via email) from the JustGo portal *
Club Roster Bond
Show Bond
Annual Family Maintenance
Please ensure you fill the form in from the top and do not skip fields as the form follows conditional logic to populate fields and provide you with a better user experience
Are you/your family new to club? *

Yes No
Are you interested in a full time or part time membership? *

Full time (select full time if you are applying for a instructor or trainee instructor membership) Part time
Please select the option that describes your membership requirement the best: *

Rider(s) 18 years or over Non-riding Instructor or Trainee Instructor 18 years or over Riding Instructor or Trainee instructor 18 years or over Riding Instructor or Trainee instructor under the age of 18 with at least one parent/guardian that will be a riding member Riding Instructor or Trainee instructor under the age of 18 with no parent/guardian a riding member Riders under the age of 18 and at least one parent/guardian that will be a riding member Riders under the age of 18 and no parent/guardian will be a riding member
Please select the option that describes your membership requirement the best: *

Part time rider(s) 18 years or over Part time riders under the age of 18 and at least one parent/guardian that will be a riding member Part time riders under the age of 18 and no parent/guardian will be a riding member
How many riding members do you want to register (excluding social members)? *
Please enter the primary/parent contact mobile number below and click on the "Click here to autofill your details". If the mobile number is found the names of riders, social members and Pony Club IDs will be pre-filled. If your number is not found continue to fill the fields manually. Please be patient while we look up your details.

Rider 1
Rider 1 Details *

Surname Given Name(s)
Rider 1 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 1 (existing members only) *

Rider 2
Rider 2 Details *

Surname Given Name(s)
Rider 2 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 2 (existing members only) *

Rider 3
Rider 3 Details *

Surname Given Name(s)
Rider 3 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 3 (existing members only) *

Rider 4
Rider 4 Details *

Surname Given Name(s)
Rider 4 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 4 (existing members only) *

Rider 5
Rider 5 Details *

Surname Given Name(s)
Rider 5 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 5 (existing members only) *

Rider 6
Rider 6 Details *

Surname Given Name(s)
Rider 6 Date of Birth *

Day Month Year
Date
Pony Club ID Rider 6 (existing members only) *

Please provide your Instructor Blue Card number *
Expiry Date *

Month Day Year
Date
You have selected a membership that requires a social membership. How many social members do you want to add? *

Only 1 2

Social Member 1
Social Member 1 Details *

Surname Given Name(s)
Social Member 1 Date of Birth *

Day Month Year
Date
Social Member 1 Pony Club ID (existing members only) *

Social Member 2
Social Member 2 Details

Surname Given Name(s)
Social Member 2 Date of Birth

Day Month Year
Date
Social Member 2 Pony Club ID (existing members only)

Brookfield Horse and Pony Club Inc.

BHPC Membership Application Form 2022

Steps to join or renew membership

Membership Term

Membership Types explained

Fees

Notes for New Families*

Departing Families

Please ensure you fill the form in from the top and do not skip fields as the form follows conditional logic to populate fields and provide you with a better user experience

Horse Ownership and Biosecurity Information

*If a horse is leased and the owner is not a member of BHPC both parties must complete and submit Form PCAQ-39 Horse Lease. You can download the form below.

Club Roster Details

Payment

Credit Card/Debit Card