MMBR FAMILY MEMBERSHIP

Family Memberships are only available to juniors not wishing to compete in Open events. Ie: 1 x Adult + Junior competitors (entering U11 ,JNR Divisional or Tiny Tots).

Member #1 Name

Member#1 ABHA number

Member #1 Date of birth

Day

Month

Year

Member #2 Name

Member#2 ABHA number

Member #2 Date of birth

Day

Month

Year

Member #3 Name

Member#3 ABHA number

Member #3 Date of birth

Day

Month

Year

Member #4 Name

Member#4 ABHA number

Member #4 Date of birth

Day

Month

Year

Phone

Address

Bank Details (for refunds and prizemoney)

BSB

ACCOUNT NUMBER

ACCOUNT NAME

I understand that if a Junior wishes to enter the Open events and wants to receive end of year prizes with MMBR, they will be required to pay an Open membership rather than the Junior or Family Membership to be eligible for end of year awards.

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 Family membership feeA$70

MMBR RULES

MOONBI MAGIC BARREL RACING Inc

MMBR FAMILY MEMBERSHIP

Bank Details (for refunds and prizemoney)

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