MercuryBay-Mercury Bay

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Do you have any medical conditions that may impact on your participation at Pony Club? If Yes, please list. *
Do you have any allergies that may impact on your participation at Pony Club? If Yes, please list. *
I agree to help set up before each rally and/or put away equipment at the end of each rally. *
What are your equestrian goals for the season?
Do you coach at Pony Club? *
If Yes, at what level do you coach?
Ethnicity - Choose from the following options *

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.