NHMMX Club Membership Form 2026-2027

North Harbour Mini Motocross Membership 2026-2027

Complete the form below to receive your club membership. Membership cards will be available to collect on our Sunday Club Days once payment is received.
Membership dates: 1 June 2026 - 31 May 2027

1 Child = $60 | Additional Child(ren) = $20 each
Childs Name

First NameLast Name
D.O.B

DayMonthYear
Date
Additional Child 2

First NameLast Name
D.O.B

DayMonthYear
Date
Additional Child 3

First NameLast Name
D.O.B

DayMonthYear
Date
Additional Child 4

First NameLast Name
D.O.B

DayMonthYear
Date
Caregiver details

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Membership type
Payment

Please use your Surname as a reference and 'Mship' as the code.
Account number 01-0735-0069834-00

ANZ - North Harbour Mini Motocross
Should be Empty:

North Harbour Mini Motocross Membership 2026-2027