FOREST OF DEAN RIDING CLUB
MEMBERSHIP APPLICATION FORM 2009/10
MEMBERSHIP TYPE (Juniors must be under 18yrs on 1st January 2010):
Senior £19 ____
Junior £13 ____
Combined Membership inc. ODFRC £25 ____
NAME: .....................……………………..............…………………………………………………
ADDRESS: .............................................................................................................................
.................................................................................... POSTCODE: .....………....…….….
TELEPHONE: ..…………………………………..…… MOBILE: ………….….........………….
EMAIL: ………………..…………………………………………..................................................
DATE OF BIRTH (Optional for seniors): …..…………………………..……...........………………………….
SPECIFIC INTERESTS - E.g. Dressage, Horse Trials, Showing, Side Saddle, Lessons, Talks:
…………………………………………………………………..................……………………………
………………………………………………………………….................……………………………
ACTIVITIES YOU WOULD BE PREPARED TO HELP OUT WITH - E.g. Stewarding, writing
for judges, crewing, catering, fence judging, publicity, admin., organising shows/talks:
………………………………………………………………….….………………................................
.....................................................................................................................................................
Please enclose your cheque made payable to “FODRC” and send to the membership secretary:
Suzanne Bowen
Little Cugley Farm
Newent
GL18 1JX
DATE: ……..…………………....…….. SIGNED: ……….......……………….......…………..….….
Any information given is used for administration purposes by the Riding Club and the BHS only and will not be passed on to third parties.
FOR OFFICE USE ONLY:
MEMBERSHIP NUMBER: ………..………………...... BHS UPDATED: ………….....….....…
