Little Valley Farm Membership Form

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1st October 2019 - 30 September 2020

First Name: *

Surname: *

Email: *

Phone Number: *

Next of Kin (in case of accident) *

Next of Kin Phone Number *

Annual Membership Type: *

Individual Riding Membership ($100)

Family Riding Membership ($150) Is: a married or defacto couple, parent or legal guardian, with children under 18 years of age

Additional Rider Names

Terms and Conditions *

I agree to be bound to the rules of use that apply to LVF (read rules linked on website ) and have read and do acknowledge the attached LVF Health and Safety Policy.

I acknowledge that I visit LVF and ride on the property at my own risk. I will not hold LVF or its owners and managers liable for any damage, loss or injury incurred to myself, horse or property during the time I am at LVF. Any damage to LVF property will be recoverable from the person/member responsible at the discretion of the owners/managers of LVF.

I am over 18 or the parent/legal guardian of the applicant

I understand LVF management has the right to refuse the application and revoke membership at any time

Required

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