Clubs

Member
Family
Emergency Contact
Other Info.
Merchandise
Fees
Terms / Conditions
Process Payment

Membership Category*

Member Details

First Name*

Last Name*

Date Of Birth*

Email*

Alternate Email1

Residential Address

Address

Suburb*

Country

Home Phone

Mobile

Mailing Address

Address

Suburb*

Country

Post Code

Other information

Pony Club Examiner Level (if applicable) *

Ethnicity - Choose from the following options *

Asian

Middle Eastern/Latin America/Africa

NZ European

Other

Pacific Peoples

Do not wish to answer

NZ Maori European

Maori

Pony Club Coaching Level (if applicable) *

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.

Peninsula

Member Registration

Member Details

Residential Address

Mailing Address

Other information