Adelaide Hills Team Penning Membership 26/27 Registration

Adelaide Hills Team Penning Membership 26/27 Registration

Register as a member for the 2026/2027 season. Please complete all required fields. Membership season runs from 1st July to 30th June.
Membership Type
Existing Member Number
An email will be sent with your new Membership Number once this form is submitted.
Competition Date
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Do you have any medical conditions we should be aware of?
Ambulance Membership Number
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Consent

In consideration of being permitted to participate in activities conducted by the Adelaide Hills Team Penning Association (AHTPA), I acknowledge and accept that team penning, horse riding, and horse-related activities are dangerous recreational activities involving horses and cattle, which are unpredictable animals that may react suddenly if frightened, startled, or injured. I understand that participation carries a significant risk of serious injury or death. I agree to abide by the Rules and Regulations of AHTPA and to comply with all directions given by AHTPA committee members, officials, volunteers, and event organisers. I confirm that I am medically fit and in good health and do not suffer from any condition or disability that may affect my ability to participate safely. I acknowledge that I have had sufficient opportunity to read and understand this declaration and that I sign it freely and voluntarily. In the event of an emergency, I authorise any qualified medical practitioner, ambulance personnel, or hospital staff to provide any medical treatment considered necessary, and I accept responsibility for all costs associated with emergency transport, medical treatment, and hospital care arising from my participation in AHTPA activities or events.
Date Signed

MonthDayYear
Date
Membership Payment
prevnext( X )
Adult Membership
Annual membership for senior members

$75.00 AUD



Junior Membership
Annual membership for junior members

$35.00 AUD



Non Rider Membership
Annual associate membership

Free



Day Membership
For Day of Competition only

$35.00 AUD



Total

$0.00 AUD
Adelaide Hills Team Penning Association

BSB 105 055

Acc # 048 329 140

Payment reference is your membership number and name.

Day membership please use your name as reference.
Should be Empty:

Adelaide Hills Team Penning Membership 26/27 Registration

Membership Payment*

Membership Payment