RHASA Season membership form

Day Membership Form

2026/2027 Season
Welcome to the RHASA 2026/2027 competition season.

The membership year runs from 1st August to 31st July.

Day members, please complete the below information. Your day membership number will be emailed to you once you have completed this form.

Day membership is only valid for the show you have nominated.
Day Member Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Postal Address

Postal Address

Street Address Line 2

City/TownState

Post code
Birth Date

DayMonthYear
Membership type
prevnext( X )
Day Membership
Day membership allows any age rider to only compete at the nominated show only.

$40.00 AUD

Total

$0.00 AUD
Payment details

Account Name: RHASA

BSB: 085 005

Account Number: 898 650 279

Please use your name and day membership number as your payment referance. You will receive an email with your day membership number once you submit this form.
Horse experience - Not limited to riding:
I consent to RHASA using any pictures of myself or my horse for promotional purposes and for RHASA use only:
Association Membership: Are you a member of any other association? 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.Format: (000) 000-0000.
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 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 related 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 & 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.
- My failure or refusal to do so can result in my 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.
- RHASA, its affiliated clubs and/or the Management/organizer takes due care to ensure that the venues chosen are safe and suitable, any equipment provided for the purpose of such activities is maintained in good condition and the Association’s/management/organizer’s staff are appropriately trained.
- 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:

Day Membership Form

Membership type*

Emergency Contact

Membership type