SCRC Membership Application Form (incl Day) 2024

Membership Application
SCRC members get discounts on events and access to member-only events and open days. We welcome new members and their horses of any age, experience and dicipline at any time of the year.

Membership runs 1st January - 31 December, half-yearly membership price is available in July.

Membership Fees

Day membership - $20

Individual membership - $85

Under 18yo - $65

Associate (non-riding) - $25

Family membership (2 adults and 2 under 18)- $130*

Half year, commencing July 1st - $50

*Please submit ONE form PER family member.
Individual Member Details:
Full Name*
Email address*
Street address*
Street address line 2
Suburb*
Post code*
Postal Address if different from above
Phone number*
Relevant medical conditions including allergies to be used in the case of an accident *Confidential*
Emergency Contact Name*
Emergency contact number*
Relationship to member*
Full Name of Parent/Guardian if under 18
Phone number
If you have applied for family membership, please submit an individual form for each family member.
Membership Type:*
Day Membership Date:

DayMonthYear
Date
Horse Details:
Horses Name
Breed
Names of additional horse/s
Breed/s
Property ID Code (PIC) for where horse is kept
EFT Payments to be made to

South Coast Riding Club

ANZ Bank 015-300 , A/c No 654 640 162

Please use your surname as the reference, followed by "2024" (eg. Smith2024)

Please email a screen shot of your receipt to southcoastridingclub@gmail.com
Signature*

Clear
Signature of parent/guardian if member is under 18 years old

Clear
Should be Empty: