Junior Membership Form

Junior Membership Form - under 16 years of age (requires parent/guardian signature) $15.00

* Indicates required field

Last Name *

First Name *

Street Address *

Email *

City *

Prov. *

Postal Code *

Phone Number *

Last Name of Parent/Guardian *

Parent/Guardian Signature: *

As parent/guardian mentioned above, I give my permission for the applicant listed above to complete this form.

First Name of Parent/Guardian *

Date: *

The mandate of RIDERS is to promote and co-ordinate English equestrian activities in Nova Scotia and is open to all residents of Nova Scota. The success of our events depends upon the participation of members.
Please Indicate below if you are able to volunteer:

Choose any of the following options: *

Payment can be made by Square or Email Money Transfer to: dlifset@eastlink.ca
If you would prefer to send a cheque, please send to:
RIDERS
c/o: Diane Lifset
120 Green Street
P.O Box 1952
Lunenburg, NS
B0J 2C0

Submit

R.I.D.E.R.S Membership

Junior Membership Form - under 16 years of age (requires parent/guardian signature) $15.00