Membership Application Form

DRESSAGE U21s UK MEMBERSHIP FORM

2024/25

SECRETARY. Ms. LORNA CALDECOTT. Tel. 07780 612397

24 Earls Court Way, Worcester, WR2 5GN

enquiries@under21sdressage.co.uk

FULLY INSURED WITH SHEARWATER INSURANCE BROKERS LTD.

2024/25 MEMBERSHIP FEE £28.50 per rider

A MEMBERSHIP IS REQUIRED TO ATTEND ANY U21's CAMP OR TRAINING
Rider Name*

First NameLast Name
Birth Date*

MonthDayYear
Pony/Horse - Name Pony/Horse - Age*

NameAge
Parent/Guardian Name*

First NameLast Name
Address (for all correspondence)*

Street Address

Street Address Line 2

Town/CityCounty

Postcode
Email*
example@example.com
Landline Phone Number*

Area CodePhone Number
Mobile Phone Number*

CodePhone Number
Own Trainers Name. Own Trainers Region

Trainers NameTrainers Location/Region

Current Level of Training*

	Former Fledgling	Prelim/Novice/PC	Elementary/Medium	P/J/YFEI or Advanced
SELECT

Training Aspirations for this Year

Current Level Competing At*

	Unaffiliated Prel/Nov/PC	Affiliated Preliminary or Novice	Affiliated Elementary or Medium/Above	BD P/J/Y Squads	Regionals or Nationals	Pet Plan Regional or Finals
SELECT

Competing Aspirations for this Year
Hoping to train with U21's UK at Unicorn and Regional Camps ?
Hoping to train with BD at Pony/J/Y National/ Squad Camps ?
Disclaimer

I wish to join and accept Dressage U21's UK Training Policy Guidelines
Parent/Guardian Signature

Clear
Date

DayMonthYear
Date
Hour MinutesAM/PM Option
Membership Payment
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Annual Membership FeeDressage U21's Annual Member Fee
£28.50 Quantity

Total

£0.00

Payment Methods

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Choose from one of the PayPal options to make your payment.

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