MMBR JUNIOR MEMBERSHIP (U18)

ABHA Member number

First name

Last name

Junior member Date of birth

Day

Month

Year

Parent or guardian name

Parent or guardian Phone

Parent or guardian Email

Address

Bank Details (for refunds and prizemoney)

BSB

ACCOUNT NUMBER

ACCOUNT NAME

I understand that junior membership does not entitle me to compete in Open events and be eligible for Open end of year prizes (juniors wishing to compete and be eligible for open events and prizes must pay adult membership)

I understand as per ABHA membership rules that images of a member may be used on MMBR website and facebook page.

I agree to abide by the constitution and the rules and regulations of the Australian Barrel Horse Association and Moonbi Magic Barrel Racing Inc. and accept full responsibility for my actions.

I acknowledge that I am only a riding member if I am a financial member of the Australian Barrel Horse Association.

Signature *Parent / guardian must sign for a junior (under 18)

Payment (form not valid without processing payment)

MMBR Junior membership feeA$30

MMBR RULES

MOONBI MAGIC BARREL RACING Inc

MMBR JUNIOR MEMBERSHIP (U18)

Bank Details (for refunds and prizemoney)

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