Queensland Showjumping Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Would you be interested in learning to Judge? *
Would you be interested in learning to Course Design? *
Would you be interested in learning to Steward? *
Would you be interested in being a mentor? *
What skills do you have that could help develop the club? (eg graphic design, accounting, printing, planning)? *
The club is an active participant in horse sport activities and in any case of emergency and as part of the club’s responsibility to its members, ALL members prior to participating in horse sport activities are required to complete this medical information form as accurately as possible. Details will be held securely with access restricted to authorised officers only.
Are you, as far as you are aware, allergic to any drugs/foods? *
If yes, please state what you are allergic to?
Are you taking any regular medication? *
If so, for what reason?
Do you have any long term illnesses/injuries? *
If so, please give more detail
I consider myself (my son/daughter*) to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided. Furthermore, in the event that I am injured, I give my permission (for my son/daughter*) for the society appointed officers to obtain emergency medical treatment on my behalf. *

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.