MEMBERSHIP

MEMBERSHIP APPLICATION FORM 2012

 

 

Surname: ....................................................... First name:.................................................

Address: …………………………………………………………………………………………………………

 

…………………………………………………….........… Post Code…………..………….

Telephone No: ........................................... Mobile No:.......................................................

 

E-mail Address:........................................................................................................................

Subscriptions 1st Jan – 31st Dec 2012: (Please add £2.00 joining fee for new members) ***

 Senior  £24

  Junior  £18 (12-17 Yrs)

 

 Family (Max 4)  £48

  Couple  £40

 

 

I / we the undersigned hereby apply for ........................................... Membership of Limpsfield Riding Club.

 

I / we enclose my / our cheque for £ .......................... Being my / our subscription to

31st December 2011.

 

Please make cheques payable to Limpsfield Riding Club

 

I / we agree to abide by the rules of the club.

The club relies on the support of its committee and members to enable events to be run and it is a condition of membership that members help with at least one event during the year.

 

Signed: …………………………………………………………………………………………………………

 

What activities would be of particular interest to you? (please tick)

ALL

CLINICS

DRESSAGE

SHOW JUMPING

TEAMS

X-COUNTRY

 

 

 

 

 

 

 

COMPETITIONS

The Club enters teams in Area Competitions at all levels.  You can only compete for one

affiliated club in any competitive year.  All horses must have a complete Flu/Vaccination Record.  If you are willing to represent the club please complete the form below.

 

Discipline

Y/N

BHS Points, BSJA & BE Placings

Level / Height currently

competing at or most proficient at

Dressage

 

 

 

Riding Test

 

 

 

Show Jumping

 

 

 

Horse Trials

 

 

 

Hunter Trials

 

 

 

Style Jumping

 

 

 

 

This section to be completed by a parent or guardian in respect of any member under 17 years of age.

 

 

I agree to .............................................................. born ……………….. becoming a junior member of the club.  Further, I agree that anything they may do in connection with the club and its activities is entirely at their own risk and that I shall not hold the club, its officers or members in any way responsible.

 

 

Signed: .................................................................. Relationship to junior: ............................

 

 

Limpsfield Riding Club