AHTPA 24/25 Day Membership

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

Day membership requires a new waiver for each event.

Day members will not be assigned a membership number unless you upgrade to a full membership.

Day membership can be upgraded to full membership if undertaken within 7 days of the event ,contact the AHTPA secretary for assistance
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
Membership type*
prevnext( X )
Day Membership Day membership is available for an individual team penning competition or training day, it must be used on the nominated event, Day membership is not available for team sorting competitions.
$35.00AUD

Total

$0.00AUD
Payment details

Adelaide Hills Team Penning

BSB 105 055

Acc # 048 329 140

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:

Day Membership Form

Emergency Contact