APPLICATION - AFFILIATED INSTRUCTOR  
     
  Term of Application
 
     
  Applicant Details    
  Name    
  Address 1  
  Address 2    
  Suburb  
  Postcode  
  Email  
  Mobile Phone  
       
  Club Membership:    
  I am a member of the following Affiliated Club (list main Club only):  
   
 
  Qualifications    
   
   
   
   
       
  Background:  Details to appear on A.E.C. Website  
   
   
   
   
   
   
   
   
   
       
     
I hereby agree to abide by the Constitution, Policies and the Rules and Regulations 
of the Albany Equestrian Centre Inc, and I am aware these are available on  
the Centre's website 
  1 January - 31 December        
  Members        
  Non-Members        
  1 July - 31 December        
  Members        
  Non-Members        
  Total Fees Due        
  Your Application will not be accepted without payment of the above fee        
             
Direct Transfer
Account Name Albany Equestrian Centre Inc
BSB 633-000
Account Number 143217743
Horse Sports are a Dangerous Activity
I understand and acknowledge that horse sports are a dangerous activity and 
that horses can act in a sudden and unpredictable way, especially if
 frightened or hurt.
I understand and acknowledge that serious INJURY or DEATH may result from 
horse  sport  activities and in particular from events in which I participate.
  I agree that I PARTICIPATE at my OWN RISK.  
  Effect of this Document  
  I understand that submission of this Application for Membership constitutes  
   a complete and  unconditional release of the Equestrian Federation of    
  Australia Ltd including all of its state bodies, coaches and Southern Districts   
  Dressage Club, to the greatest extent allowed by law  in the event of me and/or   
  the children under my care, suffering injury or death.  
  By submitting this Membership application,  I ACCEPT I confirm having   
  read and understood the  contents of this disclaimer.  
   
     
  Should you wish to includea photograph on website, email it to:  
  albanyequestriantreasurer@gmail.com