Co. Clare Pony Club - Its Plain Sailing Online Payments page member

Renewal memberships 2025 - 2nd and subsequent children

For the second. third or fourth child of a family who has already been a member of the Irish Pony Club at any stage and has a membership number

120.00 (plus handling fee)

Please fill out all the fields below and then click the relevant button at the bottom to add this application to your shopping cart.

This field is mandatory and must be a number (without using any other characters or letters)

Please provide the existing membership number. [Note: This field is mandatory]Membership Number

This field is mandatory

Please enter the first name of the person for whom this application applies [Note: This field is mandatory]First Name

This field is mandatory

Please enter the last name of the person for whom this application applies [Note: This field is mandatory]Last Name

This field is mandatory

Please indicate male or female for this person [Note: This field is mandatory]Gender

This field is mandatory and must be a valid date

Please enter the date of birth for the person being entered [Note: This field is mandatory]Date Of Birth

This field is mandatory

Please provide a contact name for all communications in relation to this application. If the Contact Name and the name of the Applicant (i.e. First Name, Last Name above) are the same then just reenter the Applicants name here. [Note: This field is mandatory]Contact Name

This field is mandatory and must be a valid email address

Please provide a valid contact email address for all communication in relation to this application [Note: This field is mandatory]Contact Email

This field is mandatory and must be a valid phone number

Please enter mobile phone contact number [Note: This field is mandatory]Contact Mobile Phone

This field is mandatory and the maximum size on this field is 255 characters, please keep the value within this limit. If you must add more information to this entry please add it to the Additional Info field below.

Please enter a contact address [Note: This field is mandatory]Contact Address

Any medical condition or disability (i.e. hearing/dyslexia etc.) that the DC or Instructor/Examiner should know about [Note: This field is mandatory]Known Medical Condition

This field

The latest proficiency test that the member being entered has passed.Latest Proficiency Test

This field must be a valid date

This is the date for when the latest proficiency test was achieved.Latest Proficiency Test Date

This field

Set this to Yes if the member has successfully completed their Riding and Road safety testRiding and Road Safety

This field

Please select the discipline you have an interest inInterested Disciplines 1

This field

Please select the discipline you have an interest inInterested Disciplines 2

This field

Please enter the official passport name of your pony / horse. Do not include pet or stable names.Pony / Horse Name

This field

The microchip number on the passport of the pony/ horse. This information field is required and must be completed correctly.Passport Microchip Number (Horse / Pony)

This field

The equine premises number of the location where the horse/ pony is kept. UKPC members please type in the postcode of the venue where your horse/pony is normally kept.Equine Premises Number

This field the maximum size on this field is 255 characters, please keep the value within this limit. If you must add more information to this entry please add it to the Additional Info field below.

Livery address for pony/ horseLivery Address

This field

Please state name(s) of emergency contactEmergency Contact Name(s)

This field

Please state the emergency contact mobile number(s)Emergency contact mobile number(s)

This field

Please state your relationship to memberEmergency Contact relationship to member

Optionally you can provide extra information that you wish to submit with this application Additional Info

I Agree To Terms And Conditions Below

You must click the checkbox to agree to the Terms And Conditions.

I/ We will respect the rules and procedures set down in the Irish Pony Clubs Code of Ethics for Childrens Sport (see www.irishponyclub.ie/code-of-ethics.html). I/ We will respect branch members, branch officials, instructors, all officials and members throughout the organisation. I/ We will encourage our child to treat other participants, instructors, selectors, officials with respect. I/ We will respect the officials and their authority during rallies, camp, competitions and at all Pony Club activities. I/ We will never demonstrate threatening or abusive behaviour or use foul language. I/ We will respect and encourage our child to respect the rights and needs of all animals. I understand the IPC Use of Photographic & Film Equipment Guidelines (available on www.irishponyclub.ie) and hereby give permission for a photograph of my child to be published in a publication approved by the Irish Pony Club, our Branch website and on our Branch Public Facebook page. I/ We have read the Code of Conduct and the Aims and Rules of the Irish Pony Club and I/ We approve of our childs membership.

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