Eyreton Pony Club
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Membership Request
If you would like to join Eyreton Pony Club please complete the form below. Once we have received your form we will discuss your application at our next meeting and we will let you know the outcome.
Eyreton Pony Club Membership Request Form
*
Indicates required field
Rider's Name
*
First
Last
Date of Birth
*
Parent's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Are you a new member to Pony Club or are you transferring from another club?
*
I am a new member
I am transferring from another Pony Club
If you are a transferring member please state your previous club
*
Do you have any Pony Club Certificates?
*
Lead rein
D certificate
D+ certificate
C certificate
C+ certificate
B certificate
H certificate
A certificate
I don't have any certificates
Is there anyone in your family who is able to instruct at Pony Club?
*
Yes
No
Unsure
Submit