Membership Form

Membership Form
2022 Membership Fee - R120

2022 Enrolment Fee- R100

Payment:

Stoneriver Equestrian Club Nedbank 198 765

Club/Savings Account No. 201 645 9271

Proof of Payment to stoneriverec@gmail.com
Member Details:
Name

First NameLast Name
Gender
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
What are you joining as?
Type of member
Disabilities (if any)
List of Equestrian Disciplines you are active in:
Horse Details:

The following information is required for each of your horses
Name of Horse 1
Gender of horse:
Microchip number:
Discipline the horse competes in:
- Name of Horse 2
- Gender of horse:
- Microchip number:
- Discipline the horse competes in:
- Name of Horse 3
- Gender of horse:
- Microchip number:
- Discipline the horse competes in:
- Should be Empty: