Membership Application – Lancefield Equestrian Group

Lancefield Equestrian Group (LEG) Inc

(formerly called Romsey and District Adult Riders (RADAR) )

LEG MEMBERSHIP FEES 1 NOVEMBER 2025 -31 OCTOBER 2026
	HRCAV LEVY	INSURANCE	CLUB FEES	TOTAL
Senior Member	$87.00	$103.00	$50.00	$240.00
Junior Member	$87.00	$53.00	$50.00	$190.00
Non Riding Member	$28.00	$22.00	$50.00	$100.00
*Riding Members aged 75-79	$87.00	$63.00	$50.00	$200.00
*Riding Members aged 80+	$87.00	$33.00	$50.00	$170.00
Affiliate Members			$50.00	$50.00
Riding members 75-79 have PL cover and reduced PA cover with reduced benefits. Riding members over 80 have PL cover only.

Membership Disclaimer Statement

Insurance Declaration must be filled in and send to annie@lancefieldequestriangroup.com

CHAFF CHAT
From November 2022, Chaff Chat will be provided free of charge to all HRCAV members. Each month, members (with a current email address on their record) will receive an email with a link to the current issue. If members prefer a hard copy of Chaff Chat, they can purchase a subscription via the HRCAV shop. The HRCAV has subsidised the cost of the magazine in recent years, however, rising costs have forced us to increase the subscription fee to $120 per year for new subscriptions. This includes postage and GST.

WHEN JOINING LANCEFIELD EQUESTRIAN GROUP, THERE IS AN EXPECTATION THAT ALL MEMBERS OFFER SOME ASSISTANCE THROUGHTOUT THE YEAR AS REQUESTED BY THE COMMITTEE.

Please fill in all information in the form below and submit

MEMBERSHIP APPLICATION/RENEWAL FORM 2025/2026

Member Application

Name*
First Last
Address*
Street Address Address Line 2 City State Post Code
Phone*
Email*
HRCAV CARD NO.
If Member of another Club, which Club:
In Case of Emergency
Date of Birth*
Emergency Contact Name*
Emergency Contact Number*
Allergies/Medication being taken, or any health problem the club should know.
Membership Type*
Select your Membership type - Fee structure is outlined below. Please note that if you are a current HRCAV Member, the HRCAV Levy does not apply.
Bank Receipt Number*
Please enter the Bank Receipt number that you received upon membership fee payment.
Upload Bank Receipt (optional)
Accepted file types: jpg, png, pdf, Max. file size: 128 MB.
I agree:*
That all fields are true and correct and that by submitting this form I agree to all terms and conditions as set out by Lancefield Equestrian Group inc.
- Yes
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Please ensure that Membership Fees have been paid prior to submitting form, as your bank receipt will be required before proceeding…

Please pay: Lancefield Equestrian Group (LEG) Inc

PO Box 85, Lancefield 3435

Preferred Payment: by Electronic Transfer:
Account Name: Lancefield Equestrian Group
BSB: 633 000
Account No: 118 806 991
In the Description, add Your Name and Membership No.