NHMMX Club Membership Registration Form 2025-2026

North Harbour Mini Motocross Membership 2025-2026

Complete the form below to receive your club membership. Membership cards will be available to collect on our Sunday Club Days once payment is received.
Membership dates: 1 June 2025 - 31 May 2026

1 Child = $50 | Additional Child(ren) = $20 each
Childs Name*

First NameLast Name
D.O.B*

DayMonthYear
Date
Additional Child 2

First NameLast Name
D.O.B

DayMonthYear
Date
Additional Child 3

First NameLast Name
D.O.B

DayMonthYear
Date
Additional Child 4

First NameLast Name
D.O.B

DayMonthYear
Date
Caregiver details*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Membership type*

Single Membership $50Additional Child 2 $20Additional Child 3 $20Additional Child 4 $20
Payment

Please use your Surname as a reference and 'Mship' as the code.
Account number 01-0735-0069834-00

ANZ - North Harbour Mini Motocross
Should be Empty:

North Harbour Mini Motocross Membership 2025-2026