IRISH PONY CLUB MEMBERSHIP
RENEWAL FORM
Surname.......................................First name...........
Address.......................................................
Date of birth.....................
Telephone number................................. Mobile.
Email address (if available)................................
Areas of interest within Pony Club i.e. Showjumping, Games, Tetrathlon,
Eventing 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 2 to be completed by the applicant's parents or guardians
Name of father/mother/guardian...................................................
Mobile No................................
Please note or discuss any medical condition or disability (i.e.
hearing/dyslexia etc.) that the DC or Instructor/Examiner should know
about....................................................................................
I............................parent/guardian named above, understanding the IPC
Use of Photographic & Film equipment guidelines hereby give permission for a
photograph of my child to be published in a publication approved by The Irish
Pony Club.
I have read the Code of Conduct and the Aims and Rules of the Irish Pony Club
and I/We approve of my/our son/daughter....................... Renewing his/her
membership.
I enclose my subscription of €..... per member.
Parent/Guardian Signature(s).............................................................
Note: The annual subscription paid for members who join between November
30th and December 31st counts for the following year.
Updated 2007