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APPLICATION - AFFILIATED INSTRUCTOR
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Term of Application
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Applicant Details
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Name
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Address 1
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Address 2
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Suburb
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Postcode
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Email
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Mobile Phone
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Club Membership:
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I am a member of the following Affiliated Club
(list main Club only):
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Qualifications
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Background: Details to appear on A.E.C. Website
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I hereby agree to abide by the Constitution,
Policies and the Rules and Regulations
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of the Albany Equestrian Centre Inc, and I am aware
these are available on
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the Centre's website
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1 January - 31 December
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Members
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Non-Members
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1 July - 31
December
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Members
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Non-Members
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Total Fees Due
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Your Application will not be accepted without
payment of the above fee
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Direct Transfer
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Account Name
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Albany Equestrian Centre Inc
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BSB
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633-000
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Account Number
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143217743
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Horse Sports
are a Dangerous Activity
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I understand that by submission
of this application form, I state that I have read and understand this
Declaration, full particulars of which are available on the A.E.C. website
at:
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www.albanyequestrian.net/Waiver%20-%20Events%20-%2022%20Dec
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(including the risk
warning, indemnity, release and waiver) and agree to the terms and conditions
as stated.
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I understand the Albany Equestrian Centre accepts no liability
for the loss of, or damage to, vehicles, or any other goods or articles, and
does not offer any personal
insurance.
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I understand
and acknowledge that horse sports are a dangerous activity and
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that horses
can act in a sudden and unpredictable way, especially if
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frightened or hurt.
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I understand
and acknowledge that serious INJURY or DEATH may result from
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horse sport
activities and in particular from events/activities in which I
participate.
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I agree that
I PARTICIPATE at my OWN RISK.
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Name
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Date
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Should you wish to include a photograph on website,
email it to:
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[email protected]
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