Bucklow Trafford Riding Club Membership Form - 2021 Registration
Email *
Your Email address will be added to the Bucklow Trafford Riding Club Information List - If you DO NOT want this please tick the box below. This is only ever used for club use and never shared with third parties. You are able to unsubscribe at any time.
Name: *
Surname: *
DOB if under 18:
DOB if Over 18
Pony/Horse Name: *
Pony/Horse Height cm *
Name:
DOB if under 18:
DOB if Over 18
Pony/Horse Name:
Pony/Horse Height cm
Name:
DOB if under 18:
Pony/Horse Name:
Pony/Horse Height cm
Name:
DOB if under 18:
Pony/Horse Name:
Pony/Horse Height cm
Membership Required *
Bank Details For Payment
Bank : HSBC Bucklow Trafford Riding Club
Sort Code : 40-31-41
Account No : 90033545
Ref : SURNAME

Membership will only be valid after Payment has been made.
Address: *
Telephone Number: *
Name of Parent or Guardian if a Junior Member or Emergency Contact if a Senior Member. *
Parent /Guardian or Emergency Telephone Number: *
Parent /Guardian or Emergency Email Address: *
If you are a Parent/Guardian returning this completed form you must agree to your son/daughter/child taking part in the activities of the club and understand that they have to have a responsible adult supervising at all times.
I agree to abide by the Club Rules at all times. I understand that by returning this form I also consent to MY pictures OR / AND SON/DAUGHTER/CHILD pictures to be used on the club website. *
Signature *
Type name below as signature of the form
A copy of your responses will be emailed to the address you provided.
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