BERMUDA EQUESTRIAN FEDERATION LIMITED
MEMBERSHIP
APPLICATION/ RENEWAL FORM
P.O. Box DV 583, Devonshire DV BX BERMUDA
Membership Secretary: Anne Cherry Tel: 441-234-0485 Fax: 441-234-3010
Email: jacherry@northrock.bm
Year: 2010/2011
From 01 September to 31 August

Name of Member(s):
Full Mailing Address:
 
Home
Phone
Work
Phone
Home
Fax
Work
Fax
Place of Work & Phone (Adult Member) Place of Work & Phone (Adult Member)
 
EMAIL ADDRESS:

DUES - Tick applicable box

Review Membership Categories & Fee Information
Initiation Fee (new or expired membership only)  **Juniors are not required to pay initiation $ 30.00
Senior/Adult Member (Advise stable below) $100.00
Family Member (List Junior competitors & information required below) $150.00
Junior Competitor (Complete information required below) ** $50.00
FEI Rider Registration - Applies to overseas competition only $15.00
Key to National Equestrian Centre $50.00
Affiliated Clubs $200.00

If paying on line please indicate here with confirmation/transfer  number & amount, your membership will not be processed without this information                           

($)Total ______

LIST JUNIOR COMPETITORS & date of birth

Name

Date of Birth
Date/Month/Year

Name of Local Coach
One only pleas
e
Indicate either/both
R-Rider or D-Driver
A A A  
B B B  
C C C  
Stable at which competitor(s) rides (Do not leave blank) A B C

Stable Codes: Hinson Hall (HH), Spicelands (SRC), Inwood (INW), Terceira's (TS) Specify other

NAME OF PARENTS

PLACE OF WORK

PHONE

Father:    
Mother:    
ADULT COMPETITOR

STABLE

Indicate either/both
R-Rider or D-Driver

Name:    
Name:    
VOLUNTEERS ARE NEEDED CAN YOU ASSIST IN ANY OF THE FOLLOWING
Announcer Jump Crew Jump Set Up Collecting Ring Judges Steward
Show Points Canteen Timer Show Director Trophies & Ribbons

By signing this form I/We understand that the BEF is committed to achieving an environment free of illicit
substance use and licit substance abuse as set out by
World Anti Doping Agency and the Bermuda Council for Drug Free Sport in their policies, procedures and penalties.


Signature:
___________________________________________ Date: _________
NB: Unsigned forms will not be accepted.
 Print this form, complete and mail to B.E.F. Membership, P.O. Box DV 583, Devonshire DV BX.