for the year ended 31 December 2020  
     
  Membership Type  
     
  Member's Name    
  Surname    
  Given Names  
  Date of Birth(if under 18)    
  Parent/Guardian Name (if Member under 18 years)  
  Surname  
  Given Names  
       
  Contact Details    
  Address 1  
  Address 2  
  Suburb  
  Postcode  
  Mobile Phone  
  Home Phone  
  Work Phone    
  Email  
     
I hereby agree to abide by the Constitution, Policies and the Rules and Regulations 
of the Albany Equestrian Centre Association.
  Fees Due:      
     
  Membership Discount    
  Total Fees Due    
         
  Your Membership will not be accepted without payment of the above fee, and expires on 31 December    
         
  Direct Transfer      
  Account Name Albany Equestrian Centre Inc    
  BSB 633-000    
  Account Number 143-217-743    
         
  Payment Receipt Details      
  Date    
  Amount    
  Receipt Number    
  Reference    
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.    
  I understand and acknowledge that 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 to riders.  
       
  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 Albany Equestrian  
  Centre Association, 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.  
   
  (Member)