New Membership

APPLICATION FOR NEW MEMBERSHIP - 2020

Fill in the online form and click the submit button. The form will be forwarded to the committee for consideration. You will be advised by the membership officer in a few days. Then you will be sent an invoice for an entrance fee of $10 and the membership fee.

* Indicates required field

Name *

First

Last

Email *

Mobile *

Other phone *

Address - No. & street *

Suburb *

Post code *

My EWA (or other EA Branch) membership number is (You do not have to be a member of an EA branch to be a member of SRDI) *

Type of membership *

The club Rules require a new member to be nominated by a club member. Please enter the name below. If you do not know any members to nominate you, leave it blank and the membership secretary will contact you.

Nominator *

Next of kin contact details (this person may be called in a case of illness or injury at one of our events). Name and Phone Number *

For minors
(if the member is under 18 as at the time of application, the parent or legal guardian must complete this part of the form)
This is to certify that I, as a parent/guardian with legal responsibility for this member, acknowledge, understand and accept ALL OF THE INFORMATION presented in this document and consent and agree to my minor child’s involvement or participation in horse sport activities.

Name of minor *

First

Last

Date of birth of minor *

Parent/Guardian Phone Number *

Name of parent/guardian *

First

Last

Date *

Member dangerous activity acknowledgement

In consideration of being permitted to participate in any way in horse sport activities, I, the undersigned,
understand, acknowledge and accept that:
1. Horse sports are dangerous activities and horses can act in a sudden and unpredictable (changeable) way,
especially if frightened or hurt.
2. There is a significant risk that serious INJURY or DEATH may result from horse sport activities.
3. There are dangers associated with the consumption of alcohol or drugs, and agree not to drink alcohol or take
drugs before or during any SRD horse sport activities.
4. I must follow the directions of any event organiser or official and that any misconduct or refusal by me to
follow any direction of any organiser or official can result in the CANCELLATION of my participation in the
activities and my immediate removal from my horse NO MATTER where that may occur.
5. I must wear an approved helmet at all times whilst participating in the sport where this is required under the
relevant EA rules and regulations.
6. I have had sufficient opportunity to read this Dangerous Activity Acknowledgement and fully understand its
terms and sign it freely and voluntarily.

Waiver (please read carefully before accepting)

1. I hereby agree to all rules and the conditions stated in relation to the Dangerous Activity Acknowledgement
and understand that neither the owners of venues used for activities, nor Swan River Dressage Inc will be
held liable for any injuries or illness that may occur in relation to Swan River Dressage Inc events.
2. I have read and agree to abide by the Policies and Documents to be found on the Equestrian Australia
website equestrian.org.au
3. I acknowledge and understand that Swan River Dressage Inc's public liability insurance states that all riders
must wear a current approved hard hat or helmet and EA approved riding boots.
4. I acknowledge and understand that neither the owners of venues used for activities, Swan River Dressage
Inc, its organising committee, members or any other person acting on behalf of the Swan River Dressage Inc
accept liability for any loss, death, accident or injury to horse, participants, spectators or any person or
property whatsoever.
5. I hereby agree that in the event of storm, rain, wind or other adverse weather or bio-security conditions,
the organisers of the event have the right to modify or cancel the event. Their decision will be final.
6. I acknowledge that I have sole responsibility for my personal possessions and equipment during the event
and related activities.
7. I hereby attest and verify that I ‘am sufficiently fit and have sufficiently trained for this event/competition’.
8. I hereby consent to receive medical or veterinary treatment for me and/or horse/s, which may be deemed
advisable by those present in the event of injury, accident and/or illness during the event.
9. I consent to photographs/film of me (or minors I am responsible for) undertaking SDR equestrian activities
being used by SRD as SRD’s promotional material AND/OR being used by SRD’s official sponsors as
promotional material for their businesses.

By checking this box, you have read and understood the WAIVER and the MEMBER DANGEROUS ACTIVITY ACKNOWLEDGEMENT document above for yourself or on behalf of the minor *

I agree

Payment details - Do not pay the membership fee now. Upon your membership application being approved by the Committee, the Treasurer will email you an invoice for membership fee and entrance fee..

Submit

​APPLICATION FOR NEW MEMBERSHIP - 2020

​Member dangerous activity acknowledgement

​Waiver (please read carefully before accepting)

APPLICATION FOR NEW MEMBERSHIP - 2020

Member dangerous activity acknowledgement

Waiver (please read carefully before accepting)