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Are you a member of another club or association?
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Please provide names of other clubs and/or associations and membership numbers
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Equestrian Australia (EA) Member?
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If you are a Equestrain Australia (EA) member please provide membership number
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Do you Ride?
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Riding ability?
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Horse handling ability?
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What are your interests? Example - Dressage Comps, Western Dressage, Trail riding, Social,
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Medical Information
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Please advise of any medical issues
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Please provide details of any allergies
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Do you carry an Epipen?
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Private Medical Cover?
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Insurance Company:
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Physical, intellectual, social, behavioral or other issues that may affect the safety of you or people around you?
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Emergency Contact name?
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Emergency Contact number?
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