Victorian Harness Racing Club

To register a horse membership, please complete the form below. All owners of a horse will receive a VHRC membership.

^*Denotes a required field

Horse Details

Please enter the details of the horse below.

Horse Name^* This should be the registered racing name of the horse.
Please Note: If the horse is unnamed please use contact us for processing.

Horse Freezebrand You are able to look up the freezebrand on the HRA website.

Trainer Details (optional)

Entering details here does not provide the trainer with membership or eligibility to the Super Bonus Race prize money.

Trainer First Name

Trainer Middle Initial

Trainer Last Name

Owner Details

Please enter up to 10 owners of the horse below in the order they are listed with HRA. Please complete all details for owners where possible

Owner 1

This owner should be the horse manager. If this listed owner is a syndicate/business entity, please enter only the manager's details.

First Name^*

Middle Name

Last Name^*

Email Address^*

Mobile Number^* Mobile number without spaces or dashes

Phone Number Phone number without spaces or dashes

Date of Birth^*

Address Line 1^*

Address Line 2

Suburb^*

State^*

Country^*

Postcode^*

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender^*

Employment Industry^*

Job Title^*

Owner 2

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 3

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 4

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 5

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 6

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 7

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 8

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 9

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

Owner 10

If this listed owner is a syndicate/business entity, please enter only the manager's details.

Either a Phone or Mobile number are required.

First Name^*

Middle Name

Last Name^*

Email Address^* Please provide an email address where possible to ensure owner can receive full membership benefits

Mobile Number^* Mobile number without spaces or dashes

Phone Number^* Phone number without spaces or dashes

Date of Birth

Address Line 1

Address Line 2

Suburb

State^*

Country^*

Postcode

Syndicate/Entity Name Only required if this is a syndicate or business entity.

Gender

Employment Industry

Job Title

I do wish to receive communication from VHRC regarding it’s upcoming events, bonus races, feature races, promotions and latest news.

I do wish to receive communication from VHRC’s third party partners.

By proceeding to payment you agree to the membership terms and conditions and the eligibility criteria for bonus races.

Register a Horse as a Member

Horse Details

Trainer Details (optional)

Owner Details

Owner 1

Owner 2

Owner 3

Owner 4

Owner 5

Owner 6

Owner 7

Owner 8

Owner 9

Owner 10