Membership Application

Membership Application

Complete the membership application and provide the required personal, emergency contact, membership, privacy, and declaration details.
Applicant Information
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Postal Address (if different to above)
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Relationship to Applicant
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Membership Details
Application Type
HRCAV Membership Number
Current membership of other riding clubs
Highest riding level attained - Jumping
Highest riding level attained - Dressage
Riding Interests
Membership Applied For
HRCAV Privacy - consent to share details with HRCAV
If you choose ‘Yes’, your details can be passed onto HRCAV, for use within their circle of membership. If you choose ‘No’, your details cannot be released without your permission
Declaration
By signing this application, you are applying to become a member of the Ajay Equestrian Riding Club Inc. You are agreeing to abide by our rules and that you have your own horse to use at rallies and your own transport to and from rallies or can obtain these. You are also implying you are confident and capable enough to be able to join in a group lesson.

As a member of AERC you support the purpose of AERC and that you agree to Support every member to ensure that the workload is spread more evenly and that we are united as a club. It is expected that members who attend the monthly rallies assist with either setup or pack up of equipment and clean-up of the club rooms.
Agreement to abide by AERC rules and membership expectations
Applicant Name
Applicant Signature
Date of Signature

MonthDayYear
Date
Should be Empty:

Membership Application

Applicant Information

Emergency Contact Information

Membership Details

Declaration