NZCCA Membership - New Member Application

NZCCA Membership - New Member Application

2026-27 Season
Membership options:

Adult $45
Youth under 13 years (free with paying Adult)
Youth under 18 years (as at 1 May) $30
Family $100
What type of membership/s are you applying for?
Name

First NameLast Name
Date of Birth (if aged under 18 years as at 1 May)

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

Town/CityState / Province

Post Code
Phone Number

Area CodePhone Number
If adding a free Youth, aged under 13 year old as at 1 May, with a paying adult, please enter their details here

First NameLast Name
Email (if different from Adult member)
example@example.com
Address (if different from Adult member)

Street Address

Street Address Line 2

Town/CityState / Province

Post Code
If paying for a family membership please add the other members details. Name of Family Member #2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Name of Family Member #3

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Name of Family Member #4

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
I agree with the Objects of the NZCCA (refer Constitution) and will comply with its Rules and policies including the NZCCA Code of Conduct (attached):
Preferred payment of membership fee is by direct deposit to:
Bank: Westpac. Acct No: 03-0887-0493175-000

Name: New Zealand Cowboy Challenge Association Incorporated

Reference: "Name" and "Membership"

Thank you for your application.

NZCCA will email you to confirm your membership and provide a membership number. Membership can only be confirmed when all details are received, including payment.
Date

DayMonthYear
Date
Should be Empty: