01/01/2025 - 30/6/2025 Membership

The following information is in addition to the Pony Club Victoria membership on the JustGo platform. Here is the link to JustGo...

Pony Club Membership platform - JustGo

Rider's last name*

Rider #1 first name*

Rider #3 first name

Parent/guardian last name (applicable for rider's under 18 years)

Rider #2 first name

Parent/guardian first name (applicable for rider's under 18 years)

Phone Number*

Mobile number

Email*

example@example.com

We value our members and a vital part of every Membership Agreement Time (MAT) is 12 hours volunteering is required throughout the year for running events and working bees, excluding rallies. Without MAT contributions our Club wil not be able to run any events. There are jobs available for everyone, regardless of your level of horse experience. Please note the MAT hours are not optional, they are a vital part of the membership agreement with BPC and your family.

We also expect families to help run our monthly rally days. Duties may include setting/packing up equipment, canteen, BBQ, cleaning/tidying club rooms.

Families should be aware that the membership fees do not fully cover the Club's costs of operation or ongoing maintenance and improvements. The club relies heavily on members and fundraising through a variety of sources such as canteen, events, fundraising activities, raffles etc.

Failure to provide help during the year may prevent your family from rejoining.

I agree to the volunteer requirements of Ballarat Pony Club membership and acknowledge that my family will help at events and monthly rallies. I understand that failure to help may exclude me/my family from future membership renewal.

In addition, PCV guidelines state that Parents, Guardians and Supporters who are routinely at Pony Club are required to hold a current Working With Children Check (WWC). For new members 18 years and over their membership is conditional upon them providing evidence of a WWC. Obtaining a WWC check is free for volunteers – full details are found at the Victorian Govt - working with children site takes approximately 21 days to receive. A copy of receipt can be obtained until WWC arrives.

Please complete and attach your WWCC below.

Name #1

First NameLast Name

WWC check status*

I am an associate member aged 18yrs & overI am an adult supporter

WWC check number

Expiry date

Date

Please upload a copy of your WWC check (jpg or pdf format preferred)

Browse Files

Name #2

First NameLast Name

WWC check status*

I am an associate member aged 18yrs & overI am an adult supporter

WWC check number

Expiry date

Date

Please upload a copy of your WWC check (jpg or pdf format preferred)

Browse Files

Name #3

First NameLast Name

WWC check status*

I am an associate member aged 18yrs & overI am an adult supporter

WWC check number

Expiry date

Date

Please upload a copy of your WWC check (jpg or pdf format preferred)

Browse Files

Club members and families may take photos during rallies and club events. These photos may be shared through our newsletter, website, closed Facebook group or PCV magazine. Full names will never be used in public domains. Please understand that although PCV has a social media policy, we cannot control the personal social media use of our members. Complete the following IF YOU DO NOT WANT photos taken.

I request that NO PHOTOS of the following people be taken:

No photo name #1

First NameLast Name

No photo name #2

First NameLast Name

No photo name #3

First NameLast Name

No photo name #4

First NameLast Name

Ballarat Pony Club puts the safety, well-being and happiness of our members as our first priority. We urge families to come and have a private talk with our President or DC if there are any circumstances that we should be aware of to ensure that you and your child feel comfortable.

Issues may include medical conditions, legal issues (court orders), fears, accessibility issues.

Please indicate if you would like a meeting with the President or DC to discuss your/your child's needs.

I would like to arrange a meeting with DC and/or President to discuss issues that may affect me/my child's safety and/or well being

YesNo

Link to Pony Club Australia - Code of Conduct

I have read and agree to abide by the Club and PCV Codes of Conduct

The following medical history will be securely stored and used only in event of an emergency at a rally or club event. Please let us know if you/your child has a severe allergy or health condition. This information is in addition to the online PCV form.

If you/your child is asthmatic or anaphylactic can you please provide a copy of the asthma emergency plan

Ambulance cover

We reserve the right to call an ambulance should our designated first aiders feel it is necessary. We strongly recommend that all families hold an Ambulance Victoria subscription. Ambulance cover through private health insurance may not cover all transport costs.

Do you have ambulance cover (highly recommended)

YesNo

Medical conditions

Please complete the following if you/your child(ren) suffers from a condition that our first aid team should be aware of. This information will be confidential and only be used if you/your child is injured/becomes ill at a rally

Rider's name #1

First NameLast Name

Rider's DOB

This rider suffers from the following condition(s)

Provide details of each condition

Rider's name #2

First NameLast Name

Rider's DOB

This rider suffers from the following condition(s)

Please provide details of each condition

Rider's name #3

First NameLast Name

Rider's DOB

This rider suffers from the following condition(s)

Please provide details of each condition

Medical release*

If emergency medical care is required for me/my child(ren) and if I am unable to give permission in a timely manner, I authorise appropriate emergency medical care as deemed necessary by emergency medical personnel, a physician or the medical facility providing treatment.

I acknowledge that I have read and understood the information provided in this membership form regarding codes of conduct and privacy.I agree to abide by the rules, regulations, policies, procedures and directives as stipulated by Pony Club Victoria Competition rules and affiliated bodies.I acknowledge that horse sport is dangerous and that accidents causing death, bodily injury, disability and property damage can, and do happen.I acknowledge and agree that neither PCV nor “the organisers” shall be under any liability for death, or bodily injury, loss or damage which may be sustained or incurred by the applicant, as a result of participation in or being present at PCV endorsed events, except in regard to any rights I may have arising under the Trade Practices Act 1974.

01/01/2025 - 30/6/2025 Membership

Working with Children Check

Photography

Safety and wellbeing

Code of Conduct

Medical information

Acknowledgements

Family details

Volunteering