Bookham Riding Club

Bookham Riding Club

Bookham Riding Club

Membership Application Form 2016

PLEASE RETURN THE COMPLETED APPLICATION FORM TO:

Stacey Collins, 14 Kimberley, Birch Hill, Bracknell, Berkshire, RG 12 7ZB - Please make cheques payable to Bookham Riding Club. Payments also accepted by bank transfer - a/c8399 2283 sort09-01-54. Or MyRidingDiary. Please put your name as reference, and mail a copy of completed form to

Membership Type Date of application:

Adult Rider Membership (£26 per annum)
Junior Rider Membership – 17 yrs & under (£19 per annum) D.O.B :
Family Membership 2 – 1xadult + 1xjunior (£38 per annum) additional adults at £26/person
Family Membership 3 – 1xadult + 2xjunior (£52 per annum)
Non-Rider Membership (£15 per annum)

The subscription is valid from 1st January 2016 until 31st December 2016. Applications after the 1st October 2015, but before the 1st January 2016, will be valid until 31st December 2016.

Your Details

Mr / Mrs / Miss / Ms / Full name
Address
Postcode / Telephone / Mobile
Email / All Club updates will be emailed or posted on the website. Please write your email address very clearly!

If you enter our dressage competitions and are aged over forty years of age you are eligible to win the 'Barnhill Vagabond Cup', which is presented at the AGM each year. Eligible YES / NO

Have you ever been a previous member of Bookham Riding Club YES / NO

From time to time, photographs may be used for media/newsletters/promotions, etc. Do you have any objection to use in any feature YES / NO

I agree to abide by the clubs constitution and rulesYES / NO

It is a condition of membership that Bookham Riding Club members help at least once per year, in organization, running, or set up, of events.Where junior members are too young to help, their parents are requested to help in their place.

Signature of applicant (For Juniors- parent/guardian): ……..………………………………………………

(Electronic transmission is deemed as acceptance)

Additional Members: Please include the names of all those applying, plus date of birth of juniors

Full Name / Date of Birth

Horse Details - Please use separate paper for additional horse details. This information is required for allocation of yearly awards

Horse’s Official Name / Mare/Gelding / Age / Height / RoR Reg Number

Teams– If you would be interested in being part of a team, please tick which ones

Dressage / Show Jumping / Rural Riders / Pairs/Team Dressage
Horse Trials / Cross Country / Style Jumping / Other

Please note you can only represent one club in any one year and you must be a fully paid up member ofBookham Riding Club to be eligible. The owner of the horse(s) you ride when representing the club must also be a member of Bookham Riding Club (riding or non-riding member). Your horse(s) must also havean up-to-date flu vaccination passport. Each team member will be requested to make a contribution towards the entry fee for the qualifying classes.

Would you be interested in:

Judging (please provide details of judging level) :

Training/ Instruction (please advise qualifications & discipline) :

DATA PROTECTION ACT

BRC holds details of its members’ names, addresses, email addresses and telephone numbers on a computer database. The database is used to distribute newsletters and information to our members and to contact members regarding BRC business. It may also be used by the Committee, Team Managers and the Riding Clubs Department at The BHS Stoneleigh. If you object to BRC holding this data about you and using it for the purposes stated please notify the membership secretary in writing at the address above and your details will be removed from the database.