Proposed Member

Proposed Members – Apply Here

Membership Type*

Adult Riding MemberAdult Non-Riding Member

Intermediate Riding MemberJunior Member

Associate MemberHonorary

First Name*

Last Name*

Birth Date*

Occupation*

Phone Number

Mobile Number*

E-mail Address*

Home Address*

Is this your mailing address?*

YesNo

Mailing Address

Are you married or do you live with a partner in the same household? *

YesNo

Spouse or partner first and last name*

Spouse or partner mobile number

Secondary E-mail Address

Do you have children (age 22 or less)?*

YesNo

Number of children*

First Child

First child's date of birth

Second Child

Second child's date of birth

Third Child

Third child's date of birth

Fourth Child

Fourth child's date of birth

Fifth Child

Fifth child's date of birth

Sixth Child

Sixth child's date of birth

Have you ever been a member of a fox hunting club in the past?*

YesNo

List any previous hunt club memberships with number of years as an active member:

Please provide the name, phone number and email address of two references who are current members of De La Brooke Foxhounds W:*

List any De La Brooke Foxhounds W functions you or your family has attended:

How did you find out about De La Brooke Foxhounds W?*

List recent equestrian clubs to which you or family members belong and level of participation:

Tell us about any volunteer work you do:

If I am elected to membership of De La Brooke Foxhounds W, I agree to abide by the By-Laws and Policies of Club as set out in the Members Manual:*

YesNo

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