Gidgegannup Equestrian Association

Membership Enrolment Form

Welcome to Gidgegannup Equestrian Association

EFT Reference Code: (MshipSurname)

Don't forget to send in your waiver form please

(Forms need to be sent individually)

If applying for family membership both parties

need to complete separate forms

so we have your individual details on record

Membership Information Package

Name
Address
Phone
Email Address:
Facebook Name
Birthday
EWA Membership Number (if applicable)
Type of EWA Membership
GEA Membership
- Life Membership
- Full Membership $170
- Associate Member $120
- Family $310 (2 members [ see Membership info for eligibility])
- Family additional person $155
- Social $20
Family Membership - Additional Family Members's Name(s)
Amount paid
Date of transfer
EFT Ref (MshipSurname)
Payment Method
- EFT (prefered)
- Cheque
- Money Order
I hereby apply to become a member of Gidgegannup Equestrian Association and confirm that I have read and understand the terms and conditions as outlined in the GEA Information pack. I declare I am 18 years of age or over. I have signed the EWA waiver form.
- Agree
- Disagree
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Rider's Medical Conditions (Confidential)
Regular Medications
Allergies (Please specify)
Private Ambulance Insurance
Rider's Experience (only tick one level)
- Level 1: Walk and trot
- Level 2: Walk, trot and canter, 20m circle
- Level 3: Serpentines, lengthened trot and canter, 15m circle, leg yields, simple changes
- Level 4: Shoulder in and travers in trot, half pass in trot and canter, collected walk/trot/canter, extended walk/trot/canter
Additional Comments Rider Experience
Horse's Name 1 (Same name as entered into your Global account)
Horse 1 Experience (tick as many boxes as applicable)
- nervous
- green/inexperienced
- walk/trot
- walk/trot/canter
- Used to working in a group
- walk trot canter 20 metre circle, serpentines, working on laterals, simple changes
- established laterals, counter canter, working on flying changes, canter 10 metre circles
Additional comments Horse 1 Experience
Horse's Name 2 (Same name as entered into your Global account)
Horse 2 Experience (tick as many boxes as applicable)
- Nervous
- green/Inexperienced
- walk/trot
- walk/trot/canter
- Used to working in a group
- Walk trot canter 20 metre circle, serpentines, working on laterals, simple changes
- established laterals, counter canter, working on flying changes, canter 10 metre circle
Additional comments Horse 2 Experience
Send Message

Thank you for your membership application.
Don't forget to send in your waiver form please.

Oops. An error occurred.
Click here to try again.

Enquiries

gidgearc@yahoo.com.au or

Postal Address

Gidgegannup Equestrian Association Inc.

PO Box 77, Gidgegannup, WA, 6083

Bank Details

EFT Details:
Bendigo Bank
BSB: 633-000
Account No: 150137297
Account Name:

Gidgegannup Equestrian

Once you have submitted your form you will see a message "Thank you for your membership application.

If you do not see this message then your form has not been submitted. Please scroll back through the form and check you have filled in all compulsory fields (marked *).

Don't forget to send in your waiver form please."

Both forms need to be submitted individually.

Thank you to our sponsors

Gidgegannup Equestrian Association

Adult Riding Club

Membership Enrolment Form