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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)
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