Motueka-Motueka

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

What Certificate Level do you currently have?
Are you a Certificate Examiner
If Yes at What Level
Show Name of your Horse/Pony
Paddock Name Of your Horse/Pony
Do you hold a current First Aid Certificate
Date of birth of you Horse/Pony
Do you coach at Pony Club? *
If Yes at What Level
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.