ANGLIAN DISTANCE RIDERS MEMBERSHIP FORM FOR 2021 Full name Address Postcode Home Number Email Mobile Number Membership to run from 01/01/2021 – please indicate with a tick √ Full Adult member £25.00 Junior member (age 8 – 18) D.O.B: _______________ £15.00 Associate Member (Non-riding, non-voting) £15.00 Family Membership (max 2 adults, 2 juniors) £35.00 Joining fee after 1st July 2021 and before 31/12/21 £15.00 Rider Pack Deposit (Bib, Wristband & Horse Tag) £10.00 £10.00 x ____ *please indicate number required TOTAL BIB No. (if known) New Member * st Number of Novice horses (1 season of ADR) *If applicable, please provide the name of the member that Please enter family details here Introduced you to ADR: Adult 1: Junior 1: Adult 2: Junior 2: Number of trophy cards required (Each horse and rider combination must have a separate card) Please remember, stewarding is a condition of membership. Rides cannot go ahead without stewards, Therefore, membership will be refused to anyone not offering assistance at one event. Please enter your 4 choices in order preference 1 for first choice, 2 for second, etc. Stewarding will be on a first come first served allocation. Event 19th June – FEI ***, Kings Forest, Wordwell 10th January – Santon Downham 20th June – FEI ***, Kings Forest, Wordwell January (TBC) – Rendlesham 21st June – Twilight Ride, Kings Forest, Wordwell 14th February – Winter Chilly, Euston 3rd July – Pimms & Puds, East Harling 28th March – FEI **, Kings Forest, Wordwell 7th August – Balloon Barn Farm, Kings Forest, Culford 29th March – FEI **, Kings Forest, Wordwell 8th August – Balloon Barn Farm, Kings Forest, Culford 2nd April – Easter Bunny, Kings Forest August (TBC) – Pentlow Pathfinder, Pentlow 4th April – Baby Ride, Kings Forest, North Stow September (TBC) - Ampton 17th April – Kings Forest 18th September – Little Lodge, Santon Downham 8th May – East Harling 19th September – Little Lodge, Santon Downham 24th May - Broxtead 10th October – Kings Forest 18th June – FEI ***, Kings Forest, Wordwell 31st October – Catch Up Ride, opposite Emily’s Wood, Santon Downham I would like to steward with: Signed: Date: I would like to pay by cheque (payable to ADR) or by BACS (BACS details - Account Name: Anglian Distance Riders, Sort Code: 20-16-12, Account Number: 43445240, Reference: 2021-MEM) Please send your form, payment and SAE C5 envelope to: Vikki Roberts, Hall Gardens, Great Livermere, Bury St Edmunds, Suffolk IP31 1JR Introduce a friend as a full member and get a free pleasure ride! .