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MEDIA CONSENT - Permission for Coalfields Horse Riding Club Inc to obtain & use photographs & articles about me, my child or other person mentioned above in their publications which may include social media, newsletters, websites, media articles, promotions & competitions. *	YesNo
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Current First Aid Certificate *	YesNo

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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.

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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.

Coalfields Horse Riding Club Inc.

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