Clone of RVHA-NZ Membership Form 26/27

Annual Membership Application Form 2026/2027 Season

I wish to apply for membership of the RVHA-NZ. I agree to abide by the Association's rules and I will accept the committees decision as to whether my application is granted or declined. Subscription fees are due in advance of the 1st June 2026. Subscriptions received after the 1st August 2026 will not be eligible to vote and they will also miss out on the early bird discount. Both Family and Single Membership will increase by $10 after the first of August.
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Date of birth (Youth only)

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Annual Membership Rates (Please tick one applicable to you)
Payment by direct credit into Westpac Account Number 03 1582 0107039 000 By signing this form, I acknowledge I have read the Constitution and Code of conduct of the RVHA-NZ. I agree to abide by the rules and accept the consequences if I fail to comply.
Please let us know which disciplines you would like us to arrange clinics/lessons in this year.
Please let us know if you have any ideas for training, club days etc you would like to share with us.
Signature
"We don't just stop, we slide"
Should be Empty: