NZCCA Membership - New Member Application

NZCCA Membership - New Member Application

2025-26 Season
One application per person please, unless a Family subscription.
Full Name*

First NameLast Name
Other names if Family subscription:
Name

First NameLast Name
Email
Name

First NameLast Name
Email
Phone Number*
E-mail*
Birth Date if under 18

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you wanting to attend NZCCA Challenges and training days*
Membership type*

Adult $45Youth $30 - up to 18 years inclusiveFamily $100
List any other horse clubs/organisations you belong to:
Preferred payment of membership fee is by direct deposit to:
Bank: Westpac. Acc No: 03-0887-0493175-000

Name: NZ Cowboy Challenge Association Inc

Reference: Name and "Membership"

Thank you for your application.

NZCCA will email you to confirm your membership and provide a membership number. Membership can only be confirmed when all details are received, including payment.

I agree with the Objects of the NZCCA (refer Constitution) and will comply with its Rules and policies including the NZCCA Code of Conduct (attached):*
Date*
Should be Empty: