Farnham Riders Club

 Membership Renewal & New Member Application Form 2008

   Please tick box as appropriate:   Renewal         New Member  

To update and check our records, we ask that everyone complete this form and return it, with the appropriate fee to the Membership Secretary (Karen Guess):-

4 Northside Court, The Cardinals, Tongham, Surrey GU10 1EW

 

Full Name:         Mr/Mrs/Miss/Ms ________________________________________________

Address:            _____________________________________________________________

                          _____________________________________________________________

                          Postcode   _____________________

 

Tel No (Home):  __________________________  (Work):  _________________________

 

(Mobile): _______________________ 

 

EMAIL ADDRESS:  PLEASE ENSURE THIS IS CURRENT AND ACCURATE

E-mail address:  ____________________________________________________________

 

 

Age (Under 16, Juniors only):  __________________

 

 

Details of horse: As stated on Flu Vacs Certificate/Passport          (not stable name)

Name:    ______________________________________ Height:  _________   Age: _______

Name:    ______________________________________ Height:  _________   Age: _______

 

The membership will run from 1st November 2007 until 31st October 2008.

The subscription costs are as follows (tick box as appropriate):-

 

Annual Membership        (Senior & Junior)                         £20.00   (with email) 

                                                                                           £23.00  (without email)    

Non riding Member                                                             £11.00                �

 

Plus when submitting subscription fees please provide (for postage of newsletters) 5 x A5 STAMPED SELF ADDRESSED envelopes, each with First Class postage (not 2^nd class as this may not cover the weight of the contents)

 

I would prefer to receive emailed newsletters……………YES/NO if yes please inc 1 x SAE

 

I enclose a cheque for £______________ made payable to  ‘FARNHAM RIDERS CLUB’.

I agree to abide by the rules and regulations of  Farnham Riders Club (FRC) and have no objection to my name and address being held on computer record for Riding Club use only.

 

 

Signature _____________________       Date ________________

 

 

Are you willing to help at events if not competing? __________________________________

 

Please complete the back of this form to give us relevant details about you and your horse/ pony in order that we may organise events of interest to you, and also if you would like to be considered for any team competitions.

 

 

Please return this form to the Membership Secretary at the above address.

__________________________________________________________________________

 

FRC Use only                                                         FRC Membership Number __________

                                                                              BHS Membership Number __________

Your Name
Do you have horse transport? (specify) :
Horse Name (as on flu cert)
Height & Age
In order to help us ascertain your eligibility to represent Farnham Riders Club in team events please complete the following information by ticking the appropriate box
In which disciplines would you be willing to represent the Club in team events:-			YES	NO
Dressage?
Show Jumping?
Hunter Trials?
One Day Events?
Does your horse have an up to date equine flu vaccination certificate? **Photocopy required (see below)
Do you have any equestrian qualifications, e.g. BHSAI?  And if so, what?
DRESSAGE
Do you/ your horse compete at Preliminary level?
Do you/ your horse compete at Novice level?
Do you/ your horse compete at Elementary level?
Do you/ your horse compete above Elementary level?
Do you/ your horse compete in any affiliated dressage competitions?
Has your horse gained any affiliated dressage points?
If so, how many affiliated dressage points?
SHOW JUMPING [heights quoted are related to those for specific team competitions]
Do you/ your horse show jump up to 2'6" / 2’9’' height?
Do you/ your horse show jump up to 3'3"/ 3'9" height?
Have you/ your horse won any money in AFFILIATED BSJA competitions?
If so, how much ?
HUNTER TRIALS / ONE DAY EVENTS [heights quoted are related to those for specific team competitions]
Do you/ your horse compete up to 2’6’ / 2'9" height?
Do you/ your horse compete up to 3’0 / 3'3" height?
Have you/ your horse competed in affiliated competitions?
If so, what level and have you won any points?
Please send photocopy of your Flu Certificate showing vacs dates and markings
Thank you for taking the time to complete and return this form.
This information will help your Committee in selecting teams to represent the Club
Please feel free to contact any of the Committee if you have any queries on the above if necessary provide additional information on a separate sheet