Club Office Bearers - Pony Club NSW

Notification of Club Office Bearers 2024

To be completed by the Club Secretary as soon as possible after the AGM.

Download your copy of the Yearly Safety Checklist HERE

Step 1 of 12

Your Name(Required)

First Last

Your Email(Required)

Full Name Of Club(Required)

Zone(Required)

Upload Yearly Safety Checklist

Drop files here or

Max. file size: 256 MB.

Club Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Club postal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Club Phone(Required)

Club Email(Required)

Club Website or Facebook Page

Club Rally Days(Required)

Local Council(Required)

Ground Ownership(Required)

Club Colours(Required)

Jumper(Required)

Tie(Required)

Saddle Cloth(Required)

Typical Rally Day Uniform(Required)

Any other valuable information

Is the Club incorporated?(Required)

Yes

Date of AGM(Required)

Club Logo

Max. file size: 256 MB.

Section Break

The following members were elected at the AGM:

SECRETARY

Secretary Name(Required)
First Last

Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

PRESIDENT
President Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)
Email(Required)

PRESIDENT
Vice President Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

TREASURER
Treasurer Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)
Email(Required)

CLUB CORPORATE MEMBER
(or “Member of the Association” - person authorised to represent the Club and vote at the State AGM):
Club Corporate Members Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)
Email(Required)

SENIOR INSTRUCTOR
Senior Instructors Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

CLUB CAPTAIN
Club Captains Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

ZONE DELEGATE
Zone Delegate No 1 Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email(Required)

ZONE DELEGATE
Zone Delegate No 2 Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

SAFETY OFFICER
Safety Officer Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)
Email(Required)

Safety Officer 2 Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

RESERVE ZONE DELEGATE
Reserve Zone Delegate Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

Reserve Zone 2 Delegate Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

Reserve Zone 3 Delegate Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

Reserve Zone 4 Delegate Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

MEMBER PROTECTION INFORMATION OFFICER
Member Protection officer Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)
Email(Required)

Member Protection officer 2 Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone
Email

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Section Break

The following members were elected at the AGM:

SECRETARY

PRESIDENT

PRESIDENT

TREASURER

CLUB CORPORATE MEMBER

SENIOR INSTRUCTOR

CLUB CAPTAIN

ZONE DELEGATE

ZONE DELEGATE

SAFETY OFFICER

RESERVE ZONE DELEGATE

MEMBER PROTECTION INFORMATION OFFICER

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