Membership form 2019 | ChevalRidingClub

Membership No. (Renewals Only)

Forename: *

Surname: *

Gender:

FemaleMale

Date of Birth:

Address:

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Membership Type

New MemberRenewalTransfer

State previous club:

Year last registered:

Riding Club Grades: Dressage

Show Jumping

Cross Country

Grading information

Have you ever competed in any of the following:Dressage Ireland: YesShow Jumping Ireland: YesEventing Ireland: Yes

If you competed in any of the above, at what level?

Have you achieved any Pony Club Exams?

Have you achieved any BHS Exams?

Compulsory Please choose one of the following:

Volunteering *

Both companies, the club all the shows and events are run entirely by volunteers. All Members are expected to volunteer.If I am accepted for membership, I agree to volunteer wherever possible at club, regional and national level.

Bound my Club Constitution *

If I am accepted for membership, I agree to be bound by the Constitution of Cheval Jordanstown CLG, Cheval Riding Club CLG (where applicable) and the rules of the Association of Irish Riding Clubs.Yes I Agree

Membership *

Yes. I agree to pay the Annual Membership on the 1st January in each year and understand that if my membership subscription is not paid by 1st January in any year, my/our membership to Cheval Jordanstown CLG and/or Cheval Riding Club CLG will automatically lapse.Yes. Cheval Joranstown CLG is a Company limited by guarantee of which I wish to become a Member, in the event of this application being accepted, I/We undertake, pursuant the Constitution to contribute to the assets of the Company in the event of its being wound up (not exceeding €2).Yes. I agree to Never Ride on my own on Cheval Jordanstown CLG's grounds, in Jordanstown, Swords, Co Dublin. I must always have another responsible person with me.Yes. I understand whilst mounted I must wear an ARC approved riding hat (PAS 015) or equivalent. EN1384 is not acceptable.Yes. I agree I have been advised by Cheval it is recommended to wear a back protector at all times mounted.Yes. I am aware that Cheval have a safety statement and agreed to the rules therein.

Payment details Make a cheque payable to Cheval Jordanstown CLG or transfer to the following ****** NEW BANK DETAILS ****** BIC IPBSIE2D IBAN IE28IPBS990616225374414 Please return to: Club Secretary Karen Kelly, 1 Castleview Grove, Swords Downs, Swords, Co Dublin. Mob 087 653 4476

Payment Method *

Please choose from the list belowPay in CashPay by ChequePay online Bank Transfer

Signature Please upload a picture of your Signature

Date

Signature If aged under 18, signed by guardian.

Date

Cheval Membership Application Form 2019

Membership Application Form 2018

All correspondence will be sent via email

Membership Type

Insurance. Riding is a risk sport - All members are advised to arrange their own personal accident insurance, and horse owners to obtain third

Membership Type. Cheval Jordanstown CLG Membership only - by becoming a member of you have access to the grounds and can enter any non AIRC affiliated competition hosted on the show grounds.

General Conditions

Disclaimer

Disclaimer Horse riding is a risk sport, participation therefore holds potential danger. Horses are sometimes unpredictable and do not always respond as expected. You may suffer serious personal injuries, as well as a loss of property

as a result of exposing yourself to the risks and hazards associated with riding as a sport. All members are advised to arrange their own personal accident insurance, and horse owners to obtain third party insurance.

The Cheval Riding Club CLG, Cheval Jordanstown CLG and the Association of Irish Riding Clubs, their members or Agents shall not be liable for, nor shall they accept responsibility, for any injury, loss or damage howsoever sustained by any person or

or persons, whether arising under the express or implied terms of this contract, in negligence or a common law or in any other manner arising,

whether direct or indirect and including consequential losses arising out of any of the activities of this organisation or in any other way whatsoever.

Payment Details

Make a cheque payable to Cheval Jordanstown CLG or transfer to the following * NEW BANK DETAILS * BIC IPBSIE2D IBAN IE28IPBS99061625374414 Please return to: Club Secretary Karen Kelly, 1 Castleview Grove, Swords Downs, Swords, Co Dublin.

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