Member Application

Associate Membership

(For a person who no longer owns or shows but wishes to remain a member)

Constituent Membership

(Includes Journal) – For two people, Partnerships, Companies, Synd.etc
Two nominees – both indicate relationship (for amateur eligibility determination).

The Nominees are family related The Nominees are de-facto partners One Nominee is a Youth (if applicable) The Nominees are NOT Related

Family Membership

(Includes Journal)
Up to 2 adults and 3 youth (under 19yo at 1st August) allowed residing in the same household

Full Membership

(Includes Journal) - For one person only

Introductory Membership

For a person who has NEVER been a member, for the first year only

Life Membership

(does not include Journal) – For one person only to sign below * Under Article 6c)(i) a person must first be a full member before applying for life membership.

Limited Youth (No Journal)

(Walk-Trot and Leadline competitors only)

Limited Youth (With Journal)

(Walk-Trot and Leadline competitors only)

Youth - Junior (No Journal)

(For Youth 13 years or younger as at 1st August of current year)

Youth - Junior (With Journal)

(For Youth 13 years or younger as at 1^st August of current year)

Youth - Senior (No Journal)

(For Youth 14 to 18 years old as at 1st August of current year)

Youth - Senior (With Journal)

(For Youth 14 to 18 years old as at 1^st August of current year)

Youth 1 Name

Youth 1 Age

Youth 1 DOB

Youth 2 Name

Youth 2 Age

Youth 2 DOB

Youth 3 Name

Youth 3 Age

Youth 3 DOB

Additional Youth 1 Name

Additional Youth 1 Age

Additional Youth 1 DOB

Additional Youth 1 Membership

Additional Youth 2 Name

Additional Youth 2 Age

Additional Youth 2 DOB

Additional Youth 2 Membership

Additional Youth 3 Name

Additional Youth 3 Age

Additional Youth 3 DOB

Additional Youth 3 Membership

Other Options

How many additional Points Book(s) Required (Number only)

Amateur Application

Additional Amateur Application

Photo Permissions

I give permission for myself, and my child/ren to be photographed/filmed at Paint Horse Association of Australia Events, and for the images to be used for PHAA promotion either in print form or online publically. Yes No

Payment Information

Payment Method Credit Card Direct Debit

Direct Debit Details

Reference No: Please use your MEMBERSHIP NO or SURNAME

BSB: 062534 A/C No: 1025 3938
A/C Name: Paint Horse Association of Australia.

You will be charged $

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