Manilla Team Penning Inc .

Manilla Team Penning Inc

Membership Form
Name

First NameLast Name
DOB:
Address

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Street Address

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Email
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Emergency Contact: First Name Last Name Phone Number

Once a competitor turns 13 or 18 years of age they are required to ride up in that division, at the next event after their birthday.

If a member is a Tiny tot, Junior or Youth competitor then they are required to have a parent or guardian member as well.
Direct Deposit for Payment-

Account Name: Manilla Team Penning Inc.
BSB: 932 000
Account Number: 100 320 735
Membership type

Open Membership- 18 years and over: $50.00Youth/Junior/Tiny tot Membership- 4-18 years: $30.00Family membership- A family memberships is defined as a spouse or Domestic Partner and/or dependent child/children under the age of 18years. Enter details below for all members. $100.00Day membership- allows for only one day of competing. $40.00
FAMILY, YOUTH, JUNIOR AND TINY TOTS MEMBERSHIP DETAILS:
First Name Last Name Division DOB
First Name Last Name Division DOB
First Name Last Name Division DOB
First Name Last Name Division DOB
First Name Last Name Division DOB
Are there any known allergies or medical conditions that Manilla Team Penning should be aware of in the event of an incident/accident?
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MEMBER ACKNOWLEDGEMENT 2025

HORSE RIDING AND PARTICIPATION IN HORSE RELATED ACTIVITY IS DANGEROUS

In consideration for being permitted to participate in any way in horse ridiing activities, I the undersigned, understand, acknowledge and accept that:
- Horse riding and participation in horse related activities is/are dangerous recreational activities and horses and cattle can act in a sudden and unpredictable (changable way), especially if frightened or hurt.
- There is a significant risk that serious INJURY or DEATH may result from participating in horse related competition or activities.
- I voluntarily PARTICIPATE at my OWN RISK and assume sole responsibility for any injury, death or property damage I may suffer that arises from my participation in horse relatede activities.
- I understand and acknowledge the dangers associated with the consumption of alcohol or any mind-altering drugs before and during the activity and I take full responsibility for any injury, loss or damage associated with their consumption. I agree not to drink alcohol or take drugs prohibited by law before or during any horse activity.
- I agree to abide by the Rules and Regulations of Manilla Team Penning Inc., its affiliated clubs and or management/organiser of the activities that I will follow all directioins of the management/organiser of the activities. My failure or refusal to comply can result in immediate disqualification from the activities and the forfeiting of all fees paid in relation to the activities. I understand that any such non-compliance may result in injury, death and/or permanent disability.
- I agree to wear a helmet of the current Australian Standard in all activities where the rules and Regulations governing the activity require wearing of a helmet. I am solely responsible for ensuring that I wear a suitable helment correctly when required and take sole responsibility for ensuring that I wear a suitable helmet correctly when required and take sole responsibility for my actions.
- I consent to receiving any medical treatment or injury assistance that Manilla Team Penning thinks desirable during or after my participation and will be responsible for any associated costs, however I do not require that special medical facilities or equipment be made available for me, and I understand that treatment or assistance may not be immediately available when needed.
- Animals are ridden by me at my own risk. Manilla Team Penning Inc. is not responsible for injury, loss or damage resulting from animal behaviour (including caused by presence of other animals or participants). Manilla Team Penning Inc. is not responsible for animal selection by or on behalf of participants (for example, an animal may be unsuitable for a participant by reason of the participant's inexperience of age).
- I consent to my animal/s receiving any medical treatment of injury assistance that Manilla Team Penning thinks desirable; when/if I am not available for consultation and will be responsible for any assossiated costs.
- I understand that any insurance cover affected for participants may not cover me for any or all injury, loss or damage sustained by me.
- I warrant that: All equipment provided or used by me in Manilla Team Penning activities is reasonably fit for its purpose- and any animal used by me in Manilla Team Penning Activities is in good phhysical condition and it is appropriate for my age, experience and anticipated riding activities.
- Upon acceptance of my/our membership, I/we agree to respect Manilla Team Penning in a positive manner. All riders 18 years and under must wear an appropriate safety helmet.
- I/we confirm I/we are in good health and do not suffer from any disability which will affect my/our ability to participate. I/we have had sufficient opportunity to read this document, fully understand its terms and sign it freely and voluntarily without inducement of any kind.
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