Membership Form
Please print and complete the attached tear-off slip below and return to:-
MRS. J.OAKES.
1, AYLESBURY AVE,
DAVYHULME,
MANCHESTER
M41 0SB
(Tel 0161-748 8996)
Please enclose cheque or P.O. made payable to
"URMSTON & DISTRICT RIDING CLUB" Membership is £13 for individual
membership or £16 for family membership.
IT WOULD BE GREATLY APPRECIATED AND WOULD HELP US CONSIDERABLY
IFYOU COULD RETURN THE MEMBERSHIP APPLICATION FORM BELOW,
BEFORE THE FIRST SHOW.
___________________________________________________________________________
URMSTON & DISTRICT RIDING CLUB - APPLICATION FORM 2010
NAME......................................................
DATE OF BIRTH.............................................. (If under 18 yrs)
Address.........................................................................
Post Code....................... Tel................................Mobile..................................
Name of Horse..................................................................
Height of Horse....................
I have read and agree to abide by the Rules of the club.
Signed.............................................................
In addition, all person under 18 years of age MUST have their application
signed by a parent or guardian.
A Junior member (including Lead Rein member) is defined as being under 16 years
of age on1/1/10 ie born on or after 1/1/1994
Notwithstanding the above, and in order to comply with the Club Rules on child
protection,all persons under the age of 18 on the 1st January 2010 must also have
their Membership Application forms signed by parent/guardian as below.
The Club Child Protection officers are Mrs. Tina Anderson tel: 0161 746 9821 mobile,
07712562891 and Mrs. Jemma Berry, tel: 0161 755 0405, mobile: 07946 275261.
Please forward both parts of this form to the above address.
Emergency contact details - to be completed by parent/guardian.
Name of Junior Member........................................................................
Please insert below the person(s) who should be contacted in case of an
incident/accident.
Contact name (eg parent/guardian)........................................
Emergency contact number ............................................
Please advise any known medical condition you think the Club should be
aware of.
By returning this completed form I agree to my son/daughter/child in my
care taking part in the activities of the club.
I understand that in the event of any injury or illness all reasonable steps
will be taken to contact me, and to deal with that injury/illness appropriately.
Name of parent/guardian.......................................................
Signature of parent/guardian............................................
Date.......................
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