Monaghan Branch of the Irish Pony Club

 

IRISH PONY CLUB MEMBERSHIP RENEWAL FORM 2014

 

 

PART 1 - TO BE COMPLETED BY APPLICANT (One Form per applicant)

 

 

Surname: ………………………………………..                  First Name: ………………………………..

 

Address: …………………………………………………………………………………………………...

 

……………………………………………………………..     Date of Birth: ……………………………

 

Areas of interest within Pony Club, i.e. Show Jumping, Games, Tetrathlon, Eventing, Hunter Trials etc.

 

………………………………………………………………………………………………………………

I/We have read / understand the Code of Conduct of the Irish Pony Club and I agree to abide by this Code and the Rules of the Irish Pony Club.  I agree to abide by the rules of the World Anti Doping Agency.

As a member of the Irish Pony Club, I stand for the best in sportsmanship as well as in horsemanship.  I shall compete for the enjoyment of the sport well played and take winning or losing in my stride, remembering that without good manners and good temper, sport loses its cause for being.  I shall at all times treat my horse with due consideration.

 

SIGNATURE OF MEMBER _____________________________________________________

 

PART 1 - TO BE COMPLETED BY APPLICANT’S PARENTS OR GUARDIANS

 

Name of Father/Mother/Guardian:  ……………………………… Mobile No.: ……………………..

Telephone:  …………………..……………………..  Email ………………………………….

 

 

Please note or discuss any medical condition or disability (i.e. hearing, dyslexia etc.) that the D.C. or Instructor/Examiner should know about

 

…………………………………………………………………………………………………….………..

 

I ……………………………… parent/guardian named above, understanding the IPC Use of Photographic & Film Equipment Guidelines (available on www.irishponyclub.ie) hereby give permission for a photograph of my child to be published in a publication approved by the Irish Pony Club.

 

I/we have read the Code of Conduct and the Aims and Rules of the Irish Pony Club andd I/We approve of my/our son/daughter …………………… renewing his/her membership. (Available on the IPC website)

 

I enclose my subscription of €95.

Parent/Guardian to sign following page

 

The Pony Club is a voluntary body and is wholly dependant on volunteers.

I/We volunteer for the following (please tick  3 events) 

   1  Dromiskin (June)

   2  Tattersalls (July)

   3 Area Festival Cavan (July)

   4 Leyland League (September)

   5 Glaslough ODE (July)

 

SIGNATURE OF PARENT/GUARDIAN: ______________________________________________

 

Note: The annual subscription paid for members who join betweeen 30 November and 31 December counts for the following year.

 

Subscription for 2014 (€95)