Draft form page MEMBERSHIP Application – Australian Light Horse Association

Please note this form uses conditional logic. Choices made as you progress will reveal or hide additional fields that need your input. Because of this it is best to work from the top down.

Your age*

18 Years and over
16 to 18 years

Membership type*

Riding Member $85
ATA Tentpegging Riding Member $60
Non-riding Member $60

Title*

Name*

First Last

Address*

Street Address Address Line 2 City State Postcode

Mobile Phone

Home Phone

Email

Date of birth*

Occupation

Riding Applicants Details - if applicable

Please include your experience, years riding and any further details to assist your application.

Riding Experience level - if applicable

Experienced / Competitor
Recreational
Novice / Beginner

Horse details - if applicable

Black, Brown, Bay & Chestnut. No Stallions or Rigs permitted

Rider / Non-rider section

Re-enactment Troop

if applicable

Firearms Details - If applicable

Permit Number

State

Expiry Date

General questions

Reason for application

eg: interest in military history etc

I am a member of the following organisations / related interests

if applicable

Member Declaration

Your full name*

I hereby apply to become a member of the Australian Light Horse Association Ltd*

I agree to abide by the Rules and Regulations of the Association (Available on our website.)
I declare that the details I have provided regarding my personal information are true and correct.
I acknowledge that Membership does not include Personal Accident Insurance.
I understand that the Public Liability insurance only covers Members in Australia and other nominated locations (as stated in the policy) engaging in Light Horse activities. The renewal cycle for the Association is from the 1st of July to the 30th June the following year and pro rata rates do not apply. Copies of the Association magazine "Spur" will be forwarded to the above address each year.
I acknowledge that horse sport is dangerous and that accidents causing death, bodily injury, disability and property damage can, and do happen. I acknowledge the inherent risk associated with horses and equine activities.
I acknowledge and agree that neither ALHA nor “the organizers” shall be under any liability for death, or bodily injury, loss or damage which may be sustained or incurred by the applicant, as a result of participation in or being present at ALHA endorsed events, except in regard to any rights I may have arising under the Trade Practices Act or State Laws.
I acknowledge that I have read and understood the information provided in this membership form and on the ALHA website regarding codes of conduct, training and presentation.
Agreed

Applicants Signature*

16 to 18 year old member declaration

Your declaration must be done in hardcopy form. Please download hard copy, complete and have your parent or guardian sign

Nominations

WE HEREBY NOMINATE THE ABOVE MENTIONED CANDIDATE AS A MEMBER OF THE ALHA LTD AND IN DOING SO BELIEVE THE CANDIDATE IS IN EVERY RESPECT ELIGIBLE ACCORDING TO THE RULES AND FIT FOR MEMBERSHIP

Proposer (1)

Member No

Troop

Proposer (2)

Member No

Troop

Total

$ 0.00

Membership does not take effect until your application has been received, passed and bank cleared

Payment

I will pay by - this form is for Credit Card Only*

EFT
Cheque
Credit Card

Cheque/Money Order - Payable to The Australian Light Horse Assoc. Cheque/MO Mail To: Membership Registrar. PO Box 6184 QUEANBEYAN NSW 2620 Payment must be included with or made at time of Application. Direct Deposit - The Australian Light Horse Assoc. Branch: BSB 704 640 Account Number: 32006425 Please include Name

Credit Card

Card Details

Cardholder Name