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Member Details

First Name*

Last Name*

Date Of Birth*

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Email*

Alternate Email1

Residential Address

Address*

Suburb*

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Mobile

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Makara Pony Club Inc. Branch Ground’s Rules'

I have read and agree to abide by the Makara Pony Club Branch Ground's Rules' 2024 *

Makara Pony Club Commitment.

I have read and agree to abide by the Makara Pony Club commitment. *

What Certificate Level do you currently have? *

Are you a Certificate Examiner *

Yes

If Yes at What Level

Do you coach at Pony Club? *

Yes

If Yes at What Level

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?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

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

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Wellington-Makara

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