WPW DRESSAGE
Equestrian Events for Everyone

MEMBERS APPLICATION FORM

If you would like to join then please complete the following application form and mail with your cheque to:

 

Liam Sloan

203 Brierley Road

Grimethorpe

Barnsley

South Yorkshire

S72 7AW

 

 

 

Application for Membership

 

Name:

 

 

Date of Birth:

 

Address:

 

 

Contact Number:

 

 

E-mail address:

 

 

Membership Tier (please delete as appropriate):

 

 

BRONZE                         SILVER                             GOLD                                    PLATINUM

 

 

Rider information: (include horse details, competition history, rider ambition)

 

 

 

 

 

 

 

 

 

 

Please be aware that WPW Dressage and Liam Sloan insist that members and their horses are fully insured and have public liability insurance.  Liam Sloan and

WPW Dressage accept no liability for injuries and accidents that occur at our events.

 

Please sign and date below to verify that you accept the above statement.

 

 

Signed:

 

Date: