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CREC Membership Form 2023
Membership form for Chislehurst & Rushmore Equestrian Club for 2023
Find us online at
http://chislehurstandrushmoreequestrian.club
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Membership Type
COSTS: Full Membership £30 (senior) and £25 (junior), Family Membership £55, Non-Riding Membership £20. BANK TRANSFERS to Account #51266322, Sort Code 40-07-35, Reference MEMBERSHIP 2023. CHEQUES payable to Chislehurst & Rushmore Equestrian Club.
Cash/Cheque/Bank Transfer
Full Membership Adult
Full Membership Junior
Family Membership (upto 2 senior and 2 junior from same household)
Non-Riding Membership
Cash/Cheque/Bank Transfer
Full Membership Adult
Full Membership Junior
Family Membership (upto 2 senior and 2 junior from same household)
Non-Riding Membership
Data Consent
Please tick below to give your consent for the club to store your data on computer and use it for the following purposes.
Sharing with the Committee of Chislehurst and Rushmore Equestrian Club and British Riding Clubs for your registration as a BRC member. (Note: Without this, we will be unable to process your membership with BRC)
Yes
No
Clear selection
Sharing with the Committee of Chislehurst and Rushmore Equestrian Club in order to send you newsletters, information about the club, events, help select clinics, instructors and event locations.
Yes
No
Clear selection
Sharing with BRC and other competition organisers as part of a competition entry.
Yes
No
Clear selection
Photographs and videos may be taken of club members at events. These may be used on the Chislehurst and Rushmore Equestrian Club social media channels, Club website and newsletter to promote the club and provide information about club activities.
Yes
No
Clear selection
Personal Details
For Family Membership please complete personal details for each member on a separate form.
Title
*
Your answer
Forename
*
Your answer
Surname
*
Your answer
Address Line 1
*
House number/name & street
Your answer
Address Line 2
*
Town/Village
Your answer
Address Line 3
Town/City
Your answer
Address Line 4
County
Your answer
Postcode
*
Your answer
Contact Phone Number
*
Your answer
Contact Email Address
*
Your answer
Date of Birth
For riders under the age of 18.
MM
/
DD
/
YYYY
Emergency Contact Details
Who should we contact in case of emergency at an event?
Name
*
Your answer
Relationship to Rider
*
Your answer
Contact Number
*
Your answer
Horse & Rider Details
Details to help committee members when planning events or entries for competitions.
Rider BHS Qualifications
Your answer
Do you have your own transport?
Yes
No
Clear selection
Horse/Pony Name
*
Non-riding members: please enter N/A
Your answer
Horse/Pony Microchip Number
*
Non-riding members: please enter N/A
Your answer
Horse/Pony Stabled At
Your answer
Disciplines
Which disciplines/activities do you take part in?
Dressage
Clear selection
Show Jumping
Clear selection
Horse Trials/Cross Country
Clear selection
Riding Tests
Clear selection
Style Jumping
Clear selection
TREC
Clear selection
Horseball
Clear selection
Other Activities
Please list any other equine activities you take part in regularly or would like the club to consider for clinics.
Your answer
Points, Placings & Prize Money
Please give details of any BD/BE points or placings, affiliated prize money or any other placings which may affect your competition entries.
Your answer
Terms & Conditions
•
You can only compete for one affiliated Riding Club in any competition year.
•
All horses/ponies must have a Valid Passport and a complete and current Flu Vaccination Record to compete at Area Events. A copy showing all primary & booster vaccination dates with the horse/pony identification must be provided on request if you wish to represent the Club at Area Events. Please note Chislehurst & Rushmore Equestrian Club are not responsible for ensuring your horse has up to date vaccinations.
•
All clubs are required to provide volunteers for Area 10 Qualifiers. All Individuals/Team members will be required to help or provide helpers at Area 10 Qualifiers to compete for the Club.
*
I accept the terms & conditions outlined above.
Required
*
I confirm that all information given above is accurate at the time of completion.
Required
*
I understand that my membership will not be processed until receipt of payment has been confirmed by the club treasurer.
Required
Parental/Guardian details for riders under the age of 18
Riders under 18 must provide the name of a parent/guardian to confirm the acceptance of the terms and conditions and approve their application for CREC membership.
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
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