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Lipizzaner Association of Australasia membership form
If you require assistance filling out this form, please contact:
Nikki Harding, LAA Secretary,
enquiry@libertaslipizzaners.com
Are you over 18 years old?
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Yes
No
Are you new or renewing?
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New or lapsed LAA member
Renewing LAA member
Do you already have a LipiData login?
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Yes
No
A LipiData login is required to access the LAA membership portal. Please create one here:
Create new username
New password
Your password can’t be too similar to your other personal information.
Your password must contain at least 8 characters.
Your password can’t be a commonly used password.
Your password can’t be entirely numeric.
Confirm new password
Enter the same password as before, for verification
First name
Last name
Email
Address
Postal address
Leave blank if postal address is the same as above
Phone
PIC
Property Identification Code, if you have one
Stud name
Enter the name of your farm, if you have one
Website
Website for your stud farm, if you have one
Lipizzaners owned
Please list all purebred or partbred Lipizzaner horses that you own or lease, if any
Membership tier
$125.00 Full Member
$165.00 Full Family Member
$80.00 Gelding/Partbred Member
$125.00 Gelding/Partbred Family Member
$35.00 Associate Member
Full membership is for owners of purebred breeding Lipizzaners. Owners of geldings or partbreds may select the gelding/partbred option. Anyone, including non-Lipizzaner owners, may join as an associate member. Family membership includes up to 2 adults, with or without children; you can list your other family members in the 'Comments' box below. Additional adults may take out associate membership.
Membership start date
Membership end date
Agreement to Constitution and Code of Conduct
The next question relates to the following documents:
LAA Constitution
LAA General Code of Conduct
Do you agree to abide by the Constitution and Code of Conduct of the association, which you have read and understood?
Agree to constitution
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I AGREE to abide by the Constitution and Code of Conduct
I DO NOT AGREE to abide by the Constitution and Code of Conduct
Electronic signature
Type your first and last name here to electronically sign this form
Member Dangerous Activity Acknowledgement (DAA)
Please complete the Member Dangerous Activity Acknowledgement for insurance purposes.
In consideration for being permitted to participate in any way in horse sport activities and/or other horse related events, I, the undersigned, understand, acknowledge and accept that:
Horse sports and events are a dangerous activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt. There is a significant risk that serious INJURY or DEATH may result from horse sport activities.
I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs and agree not to drink alcohol or take drugs prohibited by law before or during any horse sports/event activities.
I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to follow any direction of any organiser or official can result in the CANCELLATION of my participation in the activities and my immediate removal from my horse and/or the event premises NO MATTER where that may occur.
I agree to wear an approved helmet at all times during any riding activity and acknowledge this is a mandatory requirement of the Lipizzaner Association of Australasia. I have had sufficient opportunity to read this Dangerous Activity Acknowledgement and fully understand its terms and sign it freely and voluntarily.
I confirm I am a fully financial and current member of the Lipizzaner Association of Australasia.
Agree to DAA
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I AGREE to the Member Dangerous Activity Acknowledgement
I DO NOT AGREE to the Member Dangerous Activity Acknowledgement
Electronic signature
Type your first and last name here to electronically sign the Member Dangerous Activity Acknowledgement
Comments
Any additional information for the Secretary can be entered here. If you are purchasing a family membership, please let us know who in your family requires a login to this site.
Payment method
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Pay online using credit card or PayPal (recommended)
Print an invoice to pay by direct deposit or cheque
If you pay online, you can use the membership portal instantly
Submit