Clubs

Membership Category*

Title*

First Name*

Last Name*

Date Of Birth*

Sex*

Email*

Alternate Email1

Alternate Email2

Address*

Suburb*

Country

State*

Post Code*

Home Phone*

Mobile*

Address

Suburb

Country

State

Post Code

Work Phone Ext.

Fax No.

Occupation *	Please enter a valid date Required field is missing.
Age *	Please enter a valid date Required field is missing.
Working with Children Check Number for all applications over the age of 18 years	Please enter a valid date
On acceptance of membership what volunteer duties would you be willing to participate in?	Please enter a valid date
A. Canteen/BBQ	Please enter a valid date
B. Equipment Maintenance	Please enter a valid date
C. Setting up & packing away equipment on rally days	Please enter a valid date
D. Gaining a working equitation Judges qualifiation or Gear check steward	Please enter a valid date
E. Running a rally day once a year	Please enter a valid date
F. Assisting in promoting the club at local Ag Shows in your area	Please enter a valid date

* Australian National Working Equitation Rule Book link http://www.anwensw.com.au/rule-book.html

* Link to team app https://www.teamapp.com/ search for club name, Central Tablelands Working Equitation Club