Junior membership online form

Membership year is 1st January to 31st December

MEMBERSHIP FEES:

JUNIOR MEMBERSHIP : £30.00 (Fee for members between the ages of 12 to 17 at 1st January of membership year. Junior members are not required to complete annual helps).

Parent/Guardian Title

Miss Ms Mrs Mr Dr Other

Parent/Guardian Name(required)

Parent/Guardian Address(required)

Parent/Guardian Email(required)

Parent/Guardian Telephone(required)

Member Name(required)

Member Date Of Birth(required)

On submitting this form as the parent or guardian of the member, I agree that I and the junior member will abide by the rules & constitution of the Rogate & District Riding Club.(required)

A payment has been made via Bank Transfer (Account: 2309 0094 / Sort Code: 20-67-49 / Reference: Member surname + “membership”)(required)

Please indicate whether the member is interested in joining team events

Dressage Show Jumping Horse Trials (one day event) Hunter Trials (XC)

Any other comments you wish to provide

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Rogate and District Riding Club,