AHTPA 24/25 Season Membership form

Membership Form

24/25 Season
Welcome to the AHTPA 24/25 competition season.

The membership year runs from 1st August to 31st July.

The following documents must be read prior to completing your membership application:
A waiver form must be completed and handed to AHTPA secretary prior to competing.

Wavier forms only need to be done once annually and must be completed for each individual membership type (Full/Junior/Non competing).

Event membership requires a new waiver for each event.

Current members renewing your membership please enter your membership number from the previous season.

New members you will be assigned a membership number upon your application.

Event members will not be assigned a membership number unless you upgrade to a full membership (if you upgrade to Full membership within 7 days of applying for event membership the balance due will be minus your event membership).

Please ensure you download and retain your membership number, this will be required for entries and correspondence to the secretary throughout the year.
Were you a member in the previous financial year?*
New Members click HERE

Event Members click HERE
Please enter your membership number:
Returning members please enter your membership number from the previous season.
Member Name *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Postal Address*

Postal Address

Street Address Line 2

City/TownState

Post code
Birth Date*

DayMonthYear
I consent to AHTPA Inc using my date of birth in AHTPA announcements*

YesNo
Membership type*
prevnext( X )
Full membershipFull membership allows riders to enter all AHTPA Inc events in the membership year, Full membership is available to members over 18.
$70.00AUD

Junior MembershipJunior membership allows riders to enter all AHTPA Inc events in the membership year, Junior membership is available to members 8 to 18.
$30.00AUD

Total

$0.00AUD
Payment details

Adelaide Hills Team Penning

BSB 105 055

Acc # 048 329 140

Payment reference is your membership number (you will receive email with your number once you submit your membership).

Day membership please use your name as reference.
Emergency Contact

Please provide the below emergency contact details
Emergency contact name*

First NameLast Name
Emergency contact phone number*
Please enter a valid phone number.
Ambulance Membership number
I First Name* Last Name* agree to abide by the rules and conditions as set out in the AHTPA INC OFFICIAL-MEMBER-HANDBOOK-RULES-AND-REGULATIONS 2022 & AHTPA constitution Date* Signature
Should be Empty:

Membership Form

Emergency Contact