AHTPA 25/26 Day Membership

Day Membership Form

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

The membership only applies for the competition/training day nominated

Day membership requires a new waiver for each event.

Day members will not be assigned a membership number unless you upgrade to a full membership.

Day membership can be upgraded to full membership if undertaken within 7 days of the event ,contact the AHTPA secretary for assistance
Member Name *

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

Postal Address

Street Address Line 2

City/TownState

Post code
Birth Date*

DayMonthYear
Membership type*
prevnext( X )
Day Membership
Day membership is available for an individual team penning competition or training day, it must be used on the nominated event.

$35.00AUD

Total

$0.00AUD
Payment details

Adelaide Hills Team Penning

BSB 105 055

Acc # 048 329 140

Day membership please use your name as reference.
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
I First Name* Last Name* agree to abide by the rules and conditions as set out in the AHTPA INC OFFICIAL-MEMBER-HANDBOOK-RULES-AND-REGULATIONS 2022 Date* Signature
Should be Empty:

Day Membership Form