Wimmera Equestrian Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

I am the member, or the guardian of the member, and I have read, understood and agree to the terms of the Risk Warning and Waiver of Liability.  This membership is pending approval. (waiver is on the next page) *
Disciplines/Interests
Please select your discipline or interest *

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.