Reining Australia Affiliate Application

REINING AUSTRALIA INC.

8 Balsa Court

Caboolture South

Queensland 4510

lgray@reiningaustralia.com.au

Reiningaustralia.com.au

AFFILIATE APPLICATION 2025
Affiliation Details:
Name of Affiliate*
Type of Affiliation*

New ApplicationRenewal Application
Registered Address of the Affiliate*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PRIMARY CONTACT Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Primary Contact*

First NameLast Name
Primary Contact E-mail*
example@example.com
Primary Contact Board Position*
Primary Contact phone number*
Affiliate Website
Affiliate Email
example@example.com
Affiliate Facebook
Committee Details
President*

First NameLast Name
Reining Australia Membership #
Vice President*

First NameLast Name
Reining Australia Membership #
Secretary*

First NameLast Name
Reining Australia Membership #
Treasurer*

First NameLast Name
Reining Australia Membership #

Other Committee Members

	Name of Member	RA Membership #
Committee Member
Committee Member
Committee Member
Committee Member
Committee Member
Committee Member

for existing Affiliates please upload previous Years Members List

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for NEW Affiliates please upload the following....

Affiliate Constitution - Current financial statements - Certificate of Incorporation - most recent AGM minutes - current members list.
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Primary Show Venue
Secondary Show Venue

End of Year Summary

	(for Renewing Affiliates ONLY)
Number of Shows Held
Number of Clinics Held
Number of Members
Number of total Runs

** Notes for a new Affiliate application

New Affiliates with Reining Australia require a minimum of 10 members.

All Executive committee members of a Regional Affiliate must be Full or Associate Members of this Association.
Please Choose your Affiliation type*
prevnext( X )
Club Affiliation -ALLMembership for Affiliates including GST
$330.00AUD

Total

$0.00AUD
Affiliation fees are due January 1st

As part of your affiliation with Reining Australia you receive benefits which include but are not limited to:
- Public liability & Personal Accident insurance for all sanctioned events
- Association Liability Insurance for the committee
- Administration and risk management support in the running of events
- Australian National Reining Championships, Gold Buckle Futurity and RA Affiliate Championships
- Access to RA judging system, Seminars, and approved judges
- Assistance with Competition Licenses, Transfers and Leases
- End of Year High Point Awards and Top Ten Recognition & Eligibilities
- Incentive programs including Green Rider & Gold Buckle Program
We hereby make application for affiliation with Reining Australia Inc and agree to:
- To adhere to the Reining Australia Code of Conduct.
- To adhere to Animal Welfare Policies
- Abide by the Rules and Regulations of Reining Australia.
- Recognise Reining Australia as the national governing body for their affiliates in the sport of Reining in Australia.
- Act in the best interests of Reining Australia and its members and horses
- Adhere to agreements entered into by Reining Australia including but not limited to sponsorship, partnership or otherwise.
- Provide required documents to Reining Australia at its request
- Pay affiliation fees, required levies or any other fees as required by Reining Australia
- Follow the Reining Australia event sanctioning and risk management process
- Make available to RA members the RA Green Rider program
We acknowledge that:
- To the best of our knowledge, all information provided is true and correct and that no details relevant to the application have been left out
- We have not given false or misleading information to Reining Australia
- Application is subject to the approval from Reining Australia.
- Any events not sanctioned by Reining Australia are not covered by Reining Australia insurances
Signed on behalf of the Affiliate

Name: First Name* Last Name* Position:

Signature: Signature* Date: Date
Should be Empty:

Affiliation Details:

Committee Details