Membership form

Name *

Address (including Postcode) *

Numbers *

Email *

Agreement

I wish to apply for membership/ renew my membership of THE GREAT WESTERN HARNESS CLUB (GWHC). I agree to abide by the rules of the Club. I understand that I must have valid Third Party Insurance Cover to attend all driving events run by the Club. I also understand that, with the sole exception of training days, I must either undertake an assessment through the Club or an affiliated club or obtain BDS qualification stage 1 or above, prior to entering a turnout for a GWHC Event. I understand GWHC is affiliated to British Carriagedriving (BC) and that BC rules relating to vaccinations of all equines at events apply (Annex 11 BC Rules on their website). I understand I have an obligation to bring equine passports with me to events and that these are to be available for inspection to check vaccinations comply.

Membership category *

Adult Membership £35*
Family Membership £95*
Junior Membership £25* (under 21)
Supporters Membership £10

All marked * can deduct £10.00 per person if they are BC Full, BC Associate or BC Young Members AND ONLY on production of a copy of their current year BC Membership Card.

BC Membership Number

Have you been assessed by an Affiliated Club? *

A copy of your certificate is required to be provided by new members

Do you require assessment by the Club? *

If yes please email Dionne.gwhc@gmail.com

Have you competed at a National Event? *

Payment Method *

BACS
Cheque

BACS payments to: Great Western Harness Club, Sort code: 20-30-47, Account: 80076503 Please reference payment ‘Membership’
Cheques to : Great Western Harness Club, 25, Holne Chase, Widewell, Plymouth, PL6 7UA.

Signed *

Subscription year 1st January 2024- 31 st December 2024

Family Membership 2 Adults + 2 Juniors (under 21) living at the home address (Please PRINT all details)

First

Last

Family Membership 2 Adults + 2 Juniors under 21 living at the home address (Please PRINT all details) (copy)

First

Last

Family Membership 2 Adults + 2 Juniors under 21 living at the home address (Please PRINT all details) (copy) (copy)

First

Last

Temporary membership is available for athletes at events/training who are not members of BC or an Affiliated BC Club for an additional £10.00 on entry fees to help cover Insurance. Non-payment of this fee would result in you not being covered and therefore unable to take part.

I require only a temporary membership

Photographs *

I DO give permission for photographs taken at club events to be included on the GWHC website, Facebook page and newsletters.
I DO NOT give permission for photographs taken at club events to be included on the GWHC website, Facebook page and newsletters.