Coffs Coast Jump Club Inc.

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Are you a non-riding social member? *
Are you a junior rider under 18? *
If yes please state your Date of Birth
Are you a member of Equestrian Australia? *
If no, do you have Ambulance Cover?
Do you object to having your image used on social media or in other media to promote the club? *
Do you object to us providing your email address to our major sponsors so they can advise you of special offers and promotions? *
Please indicate height you are training?
Please indicate height you are competing?
What are your goals for the coming year?
How did you hear about us? *