RHASA Season membership form

Membership Form

25/26Season
Welcome to the RHASA 25/26 competition season.

The membership year runs from 1st Aug to 31st July .
Are you a :

Current/returning member (Adult & Junior existing membership number required )New Member(Adult or Junior)Day member (Only good for one show )
Click on the below link and go to the new membership form for both Adults & Junior riders ,once you have completed your membership you will automatically receive your AHTPA membership number in a seperate email

New Membership
Click on the below link and go to the Day membership form for both Adults & Junior riders ,once you have completed your membership you will automatically receive your AHTPA membership number in a seperate email

Day Membership

Day membership is only valid for the nominated competion you are riding at and can not be transferred
Member Number - If unsure contact the RHASA secretary
Member Name *

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Postal Address*

Postal Address

Street Address Line 2

City/TownState

Post code
Birth Date*

DayMonthYear
I consent to RHASA using any pictures of myself or my horse for promoting RHASA.*

YesNo
Membership type*
prevnext( X )
Full membershipFull membership allows riders to enter all RHASA events in the membership year, Full membership is available to members over 18.
$60.00AUD

Junior MembershipJunior membership allows riders to enter all RHASA events in the membership year, Junior membership is available to members 8 to 18.
$25.00AUD

Total

$0.00AUD
Payment details

RHASA

BSB 085 005

Acc # 898650279

Payment reference is your membership number (you will receive email with your number once you submit your membership).

Day membership please use your name as reference.
Association Membership (Are you a member of any other assocition AQHA,PHAA,AAA or similar ?)

Association nameMembership #
Emergency Contact

Please provide the below emergency contact details
Emergency contact name*

First NameLast Name
Emergency contact phone number*
Please enter a valid phone number.
Ambulance Membership number
In consideration for being permitted to participate in any way in horse riding 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 (changeable) way, especially if frightened or hurt.
- There is significant risk that serious INJURY or DEATH may result from participating in horse related competition or activities.
- I agree to abide by the Rules & Regulations of the Ranch Horse Association of Australia and Ranch Horse Association South Australian Club, its affiliated clubs and/or management/organizer of the activities and that I will follow all directions of the management/organizer of the activities.
- I further confirm that I am in good health and do not suffer from any disability which will affect my ability to participate. I have had sufficient opportunity to read this document, fully understand its terms and sign it freely and voluntarily without inducement of any kind.
- In case of emergency I do hereby give my consent for medical treatment to be given by a Doctor and/or Hospital staff, and I Agree to pay all costs associated with emergency transport and treatment should an accident occur during activities conducted by RHASA.
Date*Signature*
Should be Empty:

Membership Form

Emergency Contact