Proposed Member Proposed Members – Apply Here Membership Type*Adult Riding MemberAdult Non-Riding MemberIntermediate Riding MemberJunior MemberLandownerHonoraryFirst Name* Last Name* Birth Date* Occupation* Phone Number Mobile Number* E-mail Address* Home Address*Is this your mailing address?*YesNoMailing AddressAre you married or do you live with a partner in the same household? *YesNoSpouse or partner first and last name* Spouse or partner mobile number Secondary E-mail Address Do you have children (age 22 or less)?*YesNoNumber 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?*YesNoList 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 Only fill in if you are not human
