2020 New Membership form - Single Membership
This form is for single membership only.  For multiple memberships please complete other membership form.
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Members Name *
Members Date of Birth *
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Members Mobile Number *
Email address *
Members Address *
Members Town *
Members postcode *
Parents Name *
Emergency contact (if different form parent) *
Emergency contact telephone number *
Address (if different from member)
Please complete the following check boxes in accordance with how the original membership form was completed
I would like those listed above to be enrolled in The Pony Club. I understand that riding is a risk sport and accept that my son/daughter/ward/myself will be taking part in Pony Club riding and associated activities. I agree that they/I will be bound by the Rules of The Pony Club and neither I nor they will hold the Club liable for any personal injury to the Members or injury to their ponies or loss or damage to any of their equipment. I agree to abide by any rules regarding safe and correct riding equipment (including footwear and hats) that my son/daughter/ward/myself must wear. If emergency medical/dental or veterinary treatment is required in my absence, I authorise the appointed Pony Club official to obtain such treatment as they reasonably consider necessary. I hereby consent to The Pony Club keeping Membership details and using them for the purposes registered under the Data Protection Act and outlined on The Pony Club website at www.pcuk.org.   *
Required
Photographic Rights:Members and their parents/guardians give permission for any photographic and/or film or TV footage taken of persons or horses/ponies taking part in Pony Club activities to be used and published in any media whatsoever for editorial purposes, press information or advertising by or on behalf of The Pony Club and/or official sponsors of The Pony Club. I understand that The Pony Club will select photographs/ footage for publication with care and respect for those shown *
Required
Permission for The Pony Club’s Partners to contact you directly:Please tick “Yes” if you are happy to receive contact direct from organisations who work with The Pony Club. Our partners like to be able to contact our Members/ their guardians (where Members are under 16) for research purposes and to share information about themselves and their products/ services. By opting in you help The Pony Club continue to build strong partnerships with other organisations. Please be assured that all our partners are vetted for suitability and you can opt out of receiving contact from any of them individually via the opt out options that they will provide as part of their communications. To see our full list of partners please visit www.pcuk.org *
Required
I, the undersigned, agree to the person(s) named overleaf being enrolled as a Member of The Pony Club and agree to abide by the rules as published in theYear Book. *
Required
I agree that they/I will be bound by the Rules of The Pony Club and neither I nor they will hold the Club liable for any personal injury to the Members or injury to their ponies or loss or damage to any of their equipment. *
Required
I understand that riding is a risk sport and accept that my son/daughter/ward/I will be taking part in Pony Club riding and associated activities explained tome by the Pony Club Official/Coach/Riding School Proprietor. *
Required
I agree that they/I will be bound by the Rules of The Pony Club and neither I nor they will hold the Club liable for any personal injury to the Members or injury to their ponies or loss or damage to any of their equipment. *
Required
I agree to abide by any rules regarding safe and correct riding equipment (including footwear and hats) that my son/daughter/ward/myself must wear.If emergency medical/dental or veterinary treatment is required in my absence, I authorise the appointed Pony Club Official to obtain such treatment as they reasonably consider necessary. *
Required
I, the undersigned, understand that The Pony Club will:not share my personal information with a third party for the purposes of them contacting me directly, unless I give separate permission above.share some personal information with its partners for data analysis/research and development purposes. *
Required
Any organisation that personal information is shared with will have to comply with the requirements laid out under the Data Protection Act for handling personal data.use the personal data I provide for its registered purposes and as outlined in the privacy policy on The Pony Club website at www.pcuk.org *
Required
I have made payment for this membership via the website *
Required
If a member of your family is a Tax payer would you be willing to complete a gift aid form which will help our branch to raise much needed additional funds ( will send this form to you once your application has been processed) *
Required
Date (by dating this form you are agreeing to all terms of the Pony Club and are agreeing that you have Parental Responsibility for all members on this form. *
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