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ABHA DAY MEMBERSHIP

2024 ABHA DAY MEMBERSHIP APPLICATION

Limit of 3 Day memberships per calendar year.

First / Last name

Address

Mobile number

Email address

Date of Birth: Juniors Only

YYYY

Membership Type

Clear choice

Senior$22.00

Junior$22.00

Senior Day Membership

$22.00

Day Membership Valid for 1 day only. Limit 3 day memberships per calendar year.

Junior Day Membership 17 & Under

$22.00

Day Membership Valid for 1 day only. Limit 3 day memberships per calendar year.

Parent/Guardian First / Last name

Address

Phone number

Name of Club Attending as a day member: ie Diamonds 2 Dust Barrel Racing

Date of Event.

Payment Metod:

Clear choice

Paid direct to Affiliate with entries

Paid Direct to ABHA BSB 084-927 ACC 548864998

Terms of Conditions

By Digitally signing: I agree to abide by the Constitution & Rules of the ABHA.

Furthermore, I declare that I have read, understand and agree to the the terms & conditions of the Waiver of Liability Click here for Waiver of Liability.

Signature

Adult Risk Waiver (Except SA)

By Digitally signing: I agree to the terms & conditions of the Adult Risk Waiver.

Child Risk Waiver (Except SA)

By Digitally signing: I agree to the terms & conditions of the Child Risk Waiver.

Click here for a copy of the South Australian Adult Risk Waiver to sign and upload below.

Click Here for a copy of the South Australian Child Risk Waiver to sign and upload below.

S.A. Risk Waiver signed File / Image upload

Delete all uploads

Choose files or drag here

Signature agreeing to Risk Waiver

Stripe Credit Card Transaction Fee

$0.3

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ABHA DAY MEMBERSHIP

2024 ABHA DAY MEMBERSHIP APPLICATIONLimit of 3 Day memberships per calendar year.

Click here for a copy of the South Australian Adult Risk Waiver to sign and upload below.

Click Here for a copy of the South Australian Child Risk Waiver to sign and upload below.

2024 ABHA DAY MEMBERSHIP APPLICATION

Limit of 3 Day memberships per calendar year.