(office use only)membership no:_______________

EQUUS RIDING CLUB MEMBERSHIP FORM 2010

RIDER/HANDLER NAME:____________________________________________________

ADDRESS:________________________________________________________________________

________________________________________________________POSTCODE:_______________

EMAIL ADDRESS:___________________________________________________________________

AGE AS OF 1ST JAN 2010:_______________ DATE OF BIRTH(if known):________________________

HORSE/PONY NAME:_______________________________________________________________

AGE AS OF 1ST JAN 2010:_____________ DATE OF BIRTH(if known)__________________________

HEIGHT:________________________ PASSPORT NUMBER:________________________________

COLOUR: ___________________________

BREEDING(if knpwn):________________________________________________________________

Competitive interests:Showing in hand/ridden,show jumping, working hunterr,dressage,x country.

Other:____________________________________________________________________________

HORSE/PONY NAME:________________________________________________________________

AGE AS OF1ST JAN 2010:___________ DATE OF BIRTH(if known)_____________________________

HEIGHT:_________________ PASSPORT NUMBER:_______________________________________

COLOUR:________________________

BREEDING (if known):_______________________________________________________________

Competitive interests: Showing in hand/ridden, show jumping, working hunter, dressage, x country

Other:___________________________________________________________________________

Membership fees for 2010 £10.00 junior and senior, £15.00 for family membership.
please note membership entitles each handler/rider to competefor members points and qualification with up to two nominated horses should you wish to competewith more than 2 horses/ponies a fee of £5.00 per horse/pony will be required
cheques payable to Mrs D Gaskin,
87a stables
Westgate hill street
Tong
Bradford
West Yorkshire
BD4 0SF