CREC Membership Form 2021
Membership form for Chislehurst & Rushmore Equestrian Club for 2021
Find us online at http://chislehurstandrushmoreequestrian.club
Email *
Membership Type
COSTS: Full Membership £27 (£22.50 for standing orders), Family Membership £37.50, Non-Riding Membership £12. BANK TRANSFERS to Account #51266322, Sort Code 40-07-35, Reference MEMBERSHIP 2021. CHEQUES payable to Chislehurst & Rushmore Equestrian Club. STANDING ORDERS: please request a standing order mandate from a committee member, or download the membership form from the club Facebook page or website (www.chislehurstandrushmoreequestrian.club), which includes a standing order form.
Cash/Cheque/Bank Transfer
Standing Order
Full Membership
Family Membership (Max 2 senior & 2 junior riders)
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)
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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.
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Sharing with BRC and other competition organisers as part of a competition entry.
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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.
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Personal Details
For Family Membership please complete personal details for each member on a separate form.
Title *
Forename *
Surname *
Address Line 1 *
House number/name & street
Address Line 2 *
Town/Village
Address Line 3
Town/City
Address Line 4
County
Postcode *
Contact Phone Number *
Contact Email Address *
Date of Birth
For riders under the age of 18.
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DD
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YYYY
Emergency Contact Details
Who should we contact in case of emergency at an event?
Name *
Relationship to Rider *
Contact Number *
Horse & Rider Details
Details to help committee members when planning events or entries for competitions.
Rider BHS Qualifications
Do you have your own transport?
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Horse/Pony Name *
Non-riding members: please enter N/A
Horse/Pony Microchip Number *
Non-riding members: please enter N/A
Horse/Pony Stabled At
Disciplines
Which disciplines/activities do you take part in?
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Other Activities
Please list any other equine activities you take part in regularly or would like the club to consider for clinics.
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.
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.
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Required
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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
Parent/Guardian Email
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