Mid South East Dressage Club Incorporated

Member Registration

Member Details

Residential Address

Mailing Address


Other information

HRCAV Number
EA Number
PIC Number
Do you have ambulance cover? *
Do you have a current first aid certificate? *
If yes please include Certificate Number and Expiry Date
May we publish your name in Club results and photographs of you in any media publication? *

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.